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Pregnancy Blood Screening For Birth Defects

Kansas 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 $120 · 10th–90th $63$1660%10%20%10th90th$120Professionalmedian $60 · 10th–90th $46$1320%20%10th90th$60$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
$72.44
Median
$120.23
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$120.23
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$75.86
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$112.20