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Pregnancy Blood Screening For Birth Defects

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $166 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$45.71$45.71 to $166
FacilityA hospital or hospital-owned outpatient department$166$48.98 to $229

How much rates vary

Facilitymedian $166 · 10th to 90th $42 to $331Professionalmedian $46 · 10th to 90th $42 to $457
$50$100$200$500facility $166professional $46

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
$48.98
Median
$181.97
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$45.71
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$75.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$63.10
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$138.04

Where Nebraska 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.

Nebraska· 27th 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.