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Pregnancy Blood Screening For Birth Defects

Illinois 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?

$60.26

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $112 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$53.70$41.69 to $69.18
FacilityA hospital or hospital-owned outpatient department$112$70.79 to $141

How much rates vary

Facilitymedian $112 · 10th to 90th $60 to $191Professionalmedian $54 · 10th to 90th $3 to $141
$5$20$100$500facility $112professional $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
$57.54
Median
$109.65
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$47.86
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$79.43
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$1,071.52
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$69.18

Where Illinois 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.

Illinois· 37th of 51

$60.26

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.