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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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$79.43

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $79.43 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$46.77 to $135
FacilityA hospital or hospital-owned outpatient department$79.43$79.43 to $135

How much rates vary

Facilitymedian $79 · 10th to 90th $66 to $331Professionalmedian $69 · 10th to 90th $35 to $166
$50$100$200$500$1Kfacility $79professional $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
$48.98
Median
$48.98
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$588.84
Medica
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$63.10
Typical High
$83.18
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$162.18
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$69.18
Wellmark
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18

Where South Dakota 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 Dakota· 13th of 51

$79.43

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.