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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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$56.23

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $69.18 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$34.67 to $69.18
FacilityA hospital or hospital-owned outpatient department$69.18$56.23 to $155

How much rates vary

Facilitymedian $69 · 10th to 90th $54 to $316Professionalmedian $47 · 10th to 90th $32 to $83
$50$100$200facility $69professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$218.78
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$69.18
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$151.36
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$47.86
Typical High
$100.00
Medcost
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$83.18
Medcost
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$34.67
Typical High
$69.18

Where North Carolina sits

The same service costs 3.7 times more in Alaska than in Georgia. 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· 38th of 51

$56.23

AK $155GA $41.69

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.