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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.

How much does Pregnancy Blood Screening For Birth Defects cost?

$56.23

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 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$56.23$54.95 to $61.66
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $120

How much rates vary

Facilitymedian $66 · 10th to 90th $44 to $229Professionalmedian $56 · 10th to 90th $42 to $91
$50$100$200facility $66professional $56

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
$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

Where North Carolina 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.

North Carolina· 46th of 51

$56.23

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.