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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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$69.18

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $72.44 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$41.69 to $132
FacilityA hospital or hospital-owned outpatient department$72.44$67.61 to $120

How much rates vary

Facilitymedian $72 · 10th to 90th $48 to $302Professionalmedian $69 · 10th to 90th $42 to $132
$50$100$200facility $72professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$83.18
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$69.18
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$34.67
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$13.80
Typical High
$14.79
Ambetter
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$72.44
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$72.44
Typical High
$331.13
Medica
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$117.49

Where Kansas 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.

Kansas· 23rd of 51

$69.18

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.