go back

Pregnancy Blood Screening For Birth Defects

West 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 October 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$56.23

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $102 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$31.62 to $93.33
FacilityA hospital or hospital-owned outpatient department$102$67.61 to $174

How much rates vary

Facilitymedian $102 · 10th to 90th $58 to $209Professionalmedian $35 · 10th to 90th $30 to $129
$50$100$200facility $102professional $35

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$57.54
Typical High
$57.54
CareSource
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
CareSource
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$134.90
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$100.00
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$34.67
Typical High
$128.82

Where West Virginia 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.

West Virginia· 36th of 51

$56.23

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.