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Pregnancy Blood Screening For Birth Defects

New Jersey 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 $269 · 10th–90th $69$6,3100%10%10th90th$269Professionalmedian $347 · 10th–90th $47$3470%50%10th$347$50.0$200.0$1.0K$5.0K$20.0K

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
$89.13
Median
$323.59
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$56.23
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$69.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$69.18