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Pregnancy Blood Screening For Birth Defects

Oklahoma 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?

$186

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $245 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 5 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$51.29$29.51 to $52.48
FacilityA hospital or hospital-owned outpatient department$245$69.18 to $331

How much rates vary

Facilitymedian $245 · 10th to 90th $52 to $427Professionalmedian $51 · 10th to 90th $30 to $69
$50$100$200$500facility $245professional $51

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
$51.29
Median
$69.18
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$45.71

Where Oklahoma 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.

Oklahoma· 3rd of 51

$186

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.