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Pregnancy Blood Screening For Birth Defects

North Carolina 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 $66 · 10th–90th $44$2290%20%10th90th$66Professionalmedian $56 · 10th–90th $42$910%20%40%10th90th$56$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
Facility
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$69.18
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$151.36
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$104.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$72.44
Typical High
$83.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$34.67
Typical High
$69.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13