Panorama for Patients Expecting Twins





The only prenatal blood test that can tell you whether your twins are identical or fraternal

Panorama is the only non-invasive prenatal test, or NIPT, that can distinguish between each twin’s DNA, which means we can tell you:

  • Whether your twins are identical (from the same egg) or fraternal or non-identical (from separate eggs)
  • The gender of each twin


Knowing whether twins are identical can impact the care plan your healthcare provider will create for you

Identical twins may share a placenta, which can increase the chance for unequal growth and a condition called twin-twin transfusion syndrome (TTTS). Fraternal twins are not at risk for TTTS. Knowing whether twins are identical helps healthcare providers determine the appropriate amount of follow-up and what specialists may be necessary for your pregnancy.

Panorama helps identify risk for more conditions than any other NIPT for twins

Panorama can provide risk evaluation for:

  • Down syndrome, Edwards syndrome, and Patau syndrome
  • Turner syndrome, a genetic disorder that occurs in girls that is associated with heart defects, learning difficulties, and infertility*
  • 22q11.2 deletion syndrome, a genetic disorder that occurs in boys and girls that is associated with learning differences, heart defects, and other birth defects*

*Risk evaluation available for pregnancies determined by Panorama to involve identical twins


How do I get started with Panorama?

Panorama is available through your doctor. Not sure if your doctor offers Panorama? Contact Natera to find out more. Call: 855.271.1502

What do Panorama results tell me?

Panorama gives you a personalized risk score and tells you if your pregnancy is at high risk or low risk for screened conditions such as Down syndrome. Like other screening tests, Panorama does not provide a definitive diagnosis of the condition.

When will I receive my Panorama results?

Your doctor will usually receive your results in five to seven calendar days.

How much is Panorama? Is it covered by insurance?

Panorama is pleased to be an in-network provider with most health plans, including Aetna, Anthem, Cigna, and UnitedHealthcare. Check out our growing list here.

The cost of Panorama varies according to the prenatal screening panel selected and your specific insurance coverage. Based on previously approved claims data, the majority of patients have an out-of-pocket expense between $100 and $200, once their deductible has been met.*

We are sensitive to the costs associated with having a baby and committed to ensuring that every patient has access to our high-quality tests.

*Based on previously approved claims from January 2015 to March 2016. Some patients will owe more; many will owe less.

What is NIPT?

Non-invasive prenatal testing (NIPT) uses a blood sample from the mother to analyze DNA from the placenta for certain chromosome conditions that could affect a baby’s health.


  • Screens for genetic abnormalities such as Down syndrome
  • Can identify your baby’s gender (optional)
  • Has the lowest false positive rate of prenatal screening tests for commonly screened chromosomal abnormalities
  • Can be done as early as nine weeks into your pregnancy
  • Poses no risk to your baby, unlike amniocentesis and chorionic villi sampling (CVS), which carry a slight risk of miscarriage

How is Panorama different?

Panorama is the only NIPT that can tell the difference between the mother’s and the baby’s (or babies’!) DNA, which results in:

  • Fewer false positives and fewer false negatives1,2,3
  • Highest reported gender accuracy of any NIPT (gender reporting is optional)1,2,3



1.   Nicolaides et al. Prenat Diagn. 2013 June;33(6):575-9
2.   Pergament et al. Obstet Gynecol. 2014 Aug;124(2 Pt 1):210-8
3.   Ryan et al. Fetal Diagn Ther. 2016;40(3):219-223
4.   Dar et al. Am J Obstet Gynecol. 2014 Nov;211(5):527.e1-527.e17
5.   Nicolaides et al. Fetal Diagn Ther. 2014;35(3):212-7.
6.   Curnow et al. Am J Obstet Gynecol. 2015 Jan;212(1):79.e1-9


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