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Pregnancy Blood Screening For Birth Defects

Missouri 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?

$69.18

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $91.20 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$60.26$44.67 to $83.18
FacilityA hospital or hospital-owned outpatient department$91.20$69.18 to $120

How much rates vary

Facilitymedian $91 · 10th to 90th $68 to $162Professionalmedian $60 · 10th to 90th $28 to $117
$50$100$200facility $91professional $60

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
$67.61
Median
$117.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$47.86
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$70.79
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$83.18

Where Missouri 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.

Missouri· 24th of 51

$69.18

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.