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Pregnancy Blood Screening For Birth Defects

Rhode Island 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?

$95.50

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $83.18 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 4 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$100$52.48 to $347
FacilityA hospital or hospital-owned outpatient department$83.18$79.43 to $191

How much rates vary

Facilitymedian $83 · 10th to 90th $69 to $398Professionalmedian $100 · 10th to 90th $40 to $347
$50$100$200facility $83professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$41.69
Typical High
$100.00

Where Rhode Island 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.

Rhode Island· 12th of 51

$95.50

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.