Blood Screening Panel For Chromosomal Risk In Pregnancy
Georgia rates for HCPCS 81511
This blood test panel, done during pregnancy, measures several substances in the mother's blood and combines the results into a risk estimate for certain chromosomal conditions, such as Down syndrome, or other developmental concerns in the baby. It does not diagnose a condition on its own — it estimates risk, and further testing is offered if the result is higher than expected. It requires only a standard blood draw from the mother.
Rates data updated October 2026.
How much does Blood Screening Panel For Chromosomal Risk In Pregnancy cost?
$69.18
Typical negotiated rate. In Georgia, October 2026.
Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $200 from a hospital or other facility.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.
Prices by location type
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$61.66
$61.66 to $107
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$200
$145 to $339
How much rates vary
Facilitymedian $200 · 10th to 90th $102 to $537Professionalmedian $62 · 10th to 90th $39 to $155
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$275.42
Facility
None
$102.33
$102.33
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$123.03
Typical High
$147.91
Professional
None
$102.33
$123.03
$147.91
Ambetter
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Professional
None
$93.33
$93.33
$93.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$186.21
Typical High
$537.03
Facility
None
$114.82
$186.21
$537.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$61.66
Typical High
$107.15
Professional
None
$38.90
$61.66
$107.15
CareSource
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Facility
None
$138.04
$138.04
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$302.00
Typical High
$467.74
Facility
None
$69.18
$302.00
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$190.55
Typical High
$218.78
Professional
None
$75.86
$190.55
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$288.40
Professional
None
$169.82
$218.78
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$91.20
Typical High
$323.59
Professional
None
$64.57
$91.20
$323.59
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$61.66
Typical High
$74.13
Professional
52 · Reduced service
$51.29
$61.66
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$24.55
Typical High
$29.51
Professional
53 · Discontinued
$20.42
$24.55
$29.51
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.