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Pregnancy Blood Screening For Birth Defects

South Dakota 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?

$105

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $135 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 6 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$79.43$53.70 to $162
FacilityA hospital or hospital-owned outpatient department$135$135 to $135

How much rates vary

Facilitymedian $135 · 10th to 90th $79 to $135Professionalmedian $79 · 10th to 90th $47 to $166
$50$100$200$500$1Kfacility $135professional $79

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
$48.98
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$83.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$91.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18

Where South Dakota 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.

South Dakota· 9th of 51

$105

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.