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Pregnancy Blood Screening For Birth Defects

South Carolina 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?

$69.18

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $132 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$53.70 to $69.18
FacilityA hospital or hospital-owned outpatient department$132$64.57 to $316

How much rates vary

Facilitymedian $132 · 10th to 90th $54 to $427Professionalmedian $69 · 10th to 90th $35 to $76
$50$100$200$500facility $132professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$26.92
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$10.96
Typical High
$11.22
BCBS
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$380.19
BCBS
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$177.83
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$53.70
Typical High
$83.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$66.07
Typical High
$245.47
Medcost
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$83.18

Where South Carolina 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.

South Carolina· 24th of 51

$69.18

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.