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Pregnancy Blood Screening For Birth Defects

Connecticut rates for HCPCS 81512

Measures five substances in a pregnant woman's blood and combines those results with details such as her age and how far along the pregnancy is. The report gives the chance that the baby has a chromosome difference or an opening in the spine or skull. It is a risk estimate rather than a diagnosis.

Rates data updated July 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$178

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $110 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$74.13 to $347
FacilityA hospital or hospital-owned outpatient department$110$74.13 to $155

How much rates vary

Facilitymedian $110 · 10th to 90th $69 to $195Professionalmedian $347 · 10th to 90th $42 to $347
$50$100$200facility $110professional $347

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
$69.18
Median
$100.00
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$346.74
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$41.69
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$107.15
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$64.57
Typical High
$123.03

Where Connecticut sits

The same service costs 6.6 times more in Vermont than in Washington, DC. 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.

Connecticut· 4th of 51

$178

VT $347DC $52.48

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.