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MECP2 Gene Test For Rett Syndrome

Colorado rates for HCPCS 0234U

Reads the MECP2 gene, the single gene behind Rett syndrome — a rare disorder that affects development, movement and speech, mostly in girls. The gene is sequenced in detail to look for the changes that explain a child's symptoms.

Rates data updated July 2026.

How much does MECP2 Gene Test For Rett Syndrome cost?

$676

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,413 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$398$316 to $427
FacilityA hospital or hospital-owned outpatient department$1,413$794 to $2,239

How much rates vary

Facilitymedian $1,413 · 10th to 90th $525 to $2,692Professionalmedian $398 · 10th to 90th $224 to $562
$200$500$1K$2Kfacility $1,413professional $398

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
$398.11
Median
$1,148.15
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,584.89
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$776.25
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$389.05

Where Colorado sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Colorado· 3rd of 51

$676

AK $1,175WY $316

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.