go back

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.

Facilitymedian $112 · 10th–90th $60$1910%10%10th90th$112Professionalmedian $54 · 10th–90th $3$1410%10%20%10th90th$54$5.0$20.0$100.0$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
$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