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Pregnancy Blood Screening For Birth Defects

Montana 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 $91 · 10th–90th $69$2090%20%10th90th$91Professionalmedian $87 · 10th–90th $42$4570%20%10th90th$87$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$100.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$69.18