CPT 81511 Pathology/Laboratory
Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3, Cost
Body System: General
Medicare Facility Rate
$154
CMS PFS CY2026
Medicare Non-Facility Rate
$154
Office/clinic setting
Frequently Asked Questions
How much does Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3, cost?
The Medicare facility rate is $154. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3, cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $154.