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Pregnancy Blood Screening For Birth Defects

Oregon 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?

$75.86

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $72.44 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$83.18$67.61 to $107
FacilityA hospital or hospital-owned outpatient department$72.44$69.18 to $129

How much rates vary

Facilitymedian $72 · 10th to 90th $69 to $174Professionalmedian $83 · 10th to 90th $59 to $347
$50$100$200$500facility $72professional $83

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
$91.20
Median
$128.82
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$72.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$95.50
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$141.25
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$83.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$107.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$251.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$83.18

Where Oregon 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.

Oregon· 21st of 51

$75.86

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.