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Nationwide rates for HCPCS 81511

Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)

Facilitymedian $229 · 10th–90th $117$6310%10%10th90th$229Professionalmedian $145 · 10th–90th $91$2090%20%10th90th$145$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $239.88 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $144.54 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $288.40 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $190.55 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $154.88 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $186.21