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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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$87.10

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $4,365 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$48.98$45.71 to $347
FacilityA hospital or hospital-owned outpatient department$4,365$182 to $16,982

How much rates vary

Facilitymedian $4,365 · 10th to 90th $87 to $23,988Professionalmedian $49 · 10th to 90th $35 to $347
$100$1K$10Kfacility $4,365professional $49

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$165.96
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$66.07
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$34.67
Typical High
$56.23
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$69.18

Where New Jersey 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.

New Jersey· 8th of 51

$87.10

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.