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Pregnancy Blood Screening For Birth Defects

Virginia 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?

$58.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $74.13 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 7 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$52.48$41.69 to $58.88
FacilityA hospital or hospital-owned outpatient department$74.13$69.18 to $155

How much rates vary

Facilitymedian $74 · 10th to 90th $59 to $331Professionalmedian $52 · 10th to 90th $28 to $83
$50$200$1K$5Kfacility $74professional $52

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
$52.48
Median
$144.54
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$165.96
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$144.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$69.18

Where Virginia 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.

Virginia· 41st of 51

$58.88

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.