go back

Pregnancy Blood Screening For Birth Defects

Florida 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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$66.07

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $129 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$31.62 to $69.18
FacilityA hospital or hospital-owned outpatient department$129$89.13 to $129

How much rates vary

Facilitymedian $129 · 10th to 90th $66 to $129Professionalmedian $42 · 10th to 90th $30 to $347
$50$100$200facility $129professional $42

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$173.78
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$24.55
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$70.79
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
AvMed
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$69.18
Typical High
$85.11
AvMed
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$87.10
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$79.43
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$64.57
Molina
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$48.98
United
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$29.51
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$69.18

Where Florida sits

The same service costs 3.7 times more in Alaska than in Georgia. 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.

Florida· 26th of 51

$66.07

AK $155GA $41.69

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.