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Pregnancy Blood Screening For Birth Defects

Maine 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?

$56.23

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $34.67 to $87.10.

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.

How much rates vary

Facilitymedian $93 · 10th to 90th $68 to $724Professionalmedian $42 · 10th to 90th $28 to $100
$20$50$100$200$500$1Kfacility $93professional $42

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$91.20
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$31.62
Typical High
$44.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$70.79
Typical High
$87.10
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$123.03

Where Maine 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.

Maine· 35th of 51

$56.23

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.