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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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$69.18

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $200 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$57.54$41.69 to $91.20
FacilityA hospital or hospital-owned outpatient department$200$79.43 to $347

How much rates vary

Facilitymedian $200 · 10th to 90th $62 to $347Professionalmedian $58 · 10th to 90th $30 to $347
$50$100$200facility $200professional $58

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$173.78
Median
$660.69
Typical High
$870.96
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$70.79
Median
$263.03
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$75.86
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$64.57
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$79.43
Typical High
$331.13
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$58.88
Typical High
$63.10
Select Health
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Select Health
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$69.18
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$61.66
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$41.69

Where Utah 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.

Utah· 21st 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.