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Pregnancy Blood Screening For Birth Defects

Utah 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?

$66.07

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $138 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$61.66$53.70 to $79.43
FacilityA hospital or hospital-owned outpatient department$138$79.43 to $347

How much rates vary

Facilitymedian $138 · 10th to 90th $62 to $347Professionalmedian $62 · 10th to 90th $51 to $347
$50$100$200facility $138professional $62

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
$138.04
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$79.43
Typical High
$107.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$63.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$69.18

Where Utah 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.

Utah· 34th of 51

$66.07

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.