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Pregnancy Blood Screening For Birth Defects

Idaho 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?

$91.20

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $123 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$72.44$66.07 to $117
FacilityA hospital or hospital-owned outpatient department$123$69.18 to $158

How much rates vary

Facilitymedian $123 · 10th to 90th $69 to $251Professionalmedian $72 · 10th to 90th $30 to $135
$50$100$200facility $123professional $72

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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$134.90
Typical High
$134.90
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$123.03
Typical High
$251.19
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$69.18
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$66.07
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$69.18
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$83.18
Typical High
$134.90
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$104.71
Typical High
$131.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$117.49
Typical High
$131.83
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$154.88
Typical High
$251.19
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$58.88
Select Health
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$91.20
Select Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$112.20

Where Idaho 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.

Idaho· 6th of 51

$91.20

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.