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Pregnancy Blood Screening For Birth Defects

Washington, DC 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?

$52.48

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $52.48 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$52.48$52.48 to $52.48
FacilityA hospital or hospital-owned outpatient department$52.48$52.48 to $83.18

How much rates vary

Facilitymedian $52 · 10th to 90th $52 to $117Professionalmedian $52 · 10th to 90th $52 to $52
$50$100$200facility $52professional $52

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$87.10

Where Washington, DC 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.

Washington, DC· 51st of 51

$52.48

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.