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Pregnancy Blood Screening For Birth Defects

New Mexico 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?

$46.77

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $63.10 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$42.66$29.51 to $69.18
FacilityA hospital or hospital-owned outpatient department$63.10$45.71 to $224

How much rates vary

Facilitymedian $63 · 10th to 90th $46 to $229Professionalmedian $43 · 10th to 90th $30 to $83
$50$100$200$500$1Kfacility $63professional $43

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$223.87
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$83.18
Typical High
$346.74
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$56.23
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$79.43
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$75.86
Typical High
$346.74
Providence
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$63.10
Typical High
$158.49
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
$29.51
Typical High
$41.69

Where New Mexico 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 Mexico· 48th of 51

$46.77

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.