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Pregnancy Blood Screening For Birth Defects

Michigan 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?

$66.07

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $66.07 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 6 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$66.07$52.48 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $83.18

How much rates vary

Facilitymedian $66 · 10th to 90th $63 to $120Professionalmedian $66 · 10th to 90th $49 to $83
$50$100facility $66professional $66

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
$66.07
Median
$66.07
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$93.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$69.18

Where Michigan 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.

Michigan· 32nd of 51

$66.07

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.