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Pregnancy Blood Screening For Birth Defects

New York 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 $120 · 10th–90th $59$2090%10%20%10th90th$120Professionalmedian $69 · 10th–90th $28$3470%20%10th90th$69$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$69.18
Median
$123.03
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$346.74
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$104.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$69.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$338.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$190.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$134.90
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$70.79
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$131.83
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$154.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$58.88
Typical High
$74.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$77.62