go back

Pregnancy Blood Screening For Birth Defects

Kentucky 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?

$54.95

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $69.18 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 5 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$27.54 to $57.54
FacilityA hospital or hospital-owned outpatient department$69.18$57.54 to $102

How much rates vary

Facilitymedian $69 · 10th to 90th $58 to $166Professionalmedian $54 · 10th to 90th $28 to $69
$20$50$100$200facility $69professional $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
$57.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$69.18

Where Kentucky 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.

Kentucky· 48th of 51

$54.95

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.