go back

Pregnancy Blood Screening For Birth Defects

Iowa 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?

$69.18

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $53.70 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 7 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$53.70$45.71 to $166
FacilityA hospital or hospital-owned outpatient department$110$69.18 to $182

How much rates vary

Facilitymedian $110 · 10th to 90th $54 to $200Professionalmedian $54 · 10th to 90th $42 to $457
$50$100$200$500facility $110professional $54

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
$53.70
Median
$144.54
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$151.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$69.18

Where Iowa 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.

Iowa· 26th of 51

$69.18

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.