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Pregnancy Blood Screening For Birth Defects

Pennsylvania 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?

$63.10

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $97.72 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$53.70 to $69.18
FacilityA hospital or hospital-owned outpatient department$97.72$69.18 to $209

How much rates vary

Facilitymedian $98 · 10th to 90th $56 to $355Professionalmedian $59 · 10th to 90th $32 to $87
$50$100$200$500$1K$2K$5Kfacility $98professional $59

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$56.23
Typical High
$69.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$28.18
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.22
Typical High
$13.49
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$354.81
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$104.71
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$77.62
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$100.00
Geisinger
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Geisinger
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$69.18
Typical High
$125.89
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$52.48
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$724.44
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$28.18
Typical High
$29.51
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.22
Typical High
$11.75
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$134.90
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$69.18
Typical High
$75.86
United
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$44.67
Typical High
$104.71

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$63.10

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.