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Blood Screening Panel For Chromosomal Risk In Pregnancy

Hawaii 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 July 2026.

How much does Blood Screening Panel For Chromosomal Risk In Pregnancy cost?

$174

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $158 to $191.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $151 · 10th to 90th $126 to $186Professionalmedian $174 · 10th to 90th $155 to $269
$100$200facility $151professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
HMSA
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$154.88
Typical High
$229.09
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$275.42

Where Hawaii sits

The same service costs 1.9 times more in South Dakota than in Maryland. 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.

Hawaii· 14th of 51

$174

SD $219MD $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.