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Pregnancy Blood Screening For Birth Defects

Ohio 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?

$58.88

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $93.33 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 8 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$53.70$32.36 to $66.07
FacilityA hospital or hospital-owned outpatient department$93.33$69.18 to $151

How much rates vary

Facilitymedian $93 · 10th to 90th $56 to $166Professionalmedian $54 · 10th to 90th $28 to $129
$50$100$200$500facility $93professional $54

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
$56.23
Median
$125.89
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$131.83
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$91.20
Typical High
$281.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$47.86
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$74.13

Where Ohio 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.

Ohio· 40th of 51

$58.88

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.