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Pregnancy Blood Screening For Birth Defects

New Hampshire 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?

$120

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $178 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 5 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$72.44$44.67 to $132
FacilityA hospital or hospital-owned outpatient department$178$129 to $282

How much rates vary

Facilitymedian $178 · 10th to 90th $98 to $398Professionalmedian $72 · 10th to 90th $28 to $347
$50$100$200$500facility $178professional $72

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
$97.72
Median
$177.83
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$251.19
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$154.88

Where New Hampshire 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.

New Hampshire· 6th of 51

$120

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.