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Pregnancy Blood Screening For Birth Defects

Georgia 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?

$56.23

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $79.43 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 6 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$45.71$41.69 to $60.26
FacilityA hospital or hospital-owned outpatient department$79.43$58.88 to $93.33

How much rates vary

Facilitymedian $79 · 10th to 90th $46 to $135Professionalmedian $46 · 10th to 90th $28 to $69
$20$50$100$200facility $79professional $46

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
$45.71
Median
$64.57
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$117.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$85.11
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$69.18

Where Georgia 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.

Georgia· 45th of 51

$56.23

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.