you can't order the test directly yourself, but i'm guessing your OB will order for you if you insist? i paid $235 out of pocket to get the materniT21 test. there are also a couple of other companies that do the same test (verify and aria). if you are sure you don't want invasive testing (CVS or amnio) then i think this is an amazing alternative. i did have some problems with the testing myself (you can search below for the posts), but i still think it is great and would do it again.