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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.

Facilitymedian $110 · 10th–90th $54$2000%10%20%10th90th$110Professionalmedian $54 · 10th–90th $42$4570%10%20%10th90th$54$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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