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North Carolina 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 $155 · 10th–90th $98–$4170%10%20%10th90th$155Professionalmedian $141 · 10th–90th $102–$1780%20%10th90th$141$50.0$100.0$200.0$500.0$1.0K

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
$97.72 / $154.88 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $389.05 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $338.84 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $162.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $77.62 / $154.88
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44