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Pregnancy Blood Screening For Birth Defects

Massachusetts 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 $158 · 10th–90th $69$3310%10%10th90th$158Professionalmedian $69 · 10th–90th $62$3470%20%40%10th90th$69$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$69.18
Median
$158.49
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$346.74
Typical High
$346.74
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$204.17
Typical High
$331.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$181.97
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$147.91
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$204.17
Typical High
$331.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$131.83