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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.

Facilitymedian $135 · 10th–90th $79$1350%50%10th$135Professionalmedian $79 · 10th–90th $47$1660%10%10th90th$79$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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