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MECP2 Gene Test For Rett Syndrome

Idaho 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?

$537

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $794 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 8 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$537$501 to $631
FacilityA hospital or hospital-owned outpatient department$794$525 to $1,259

How much rates vary

Facilitymedian $794 · 10th to 90th $525 to $1,585Professionalmedian $537 · 10th to 90th $372 to $1,023
$500$1K$2Kfacility $794professional $537

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
$954.99
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$977.24
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,096.48
Typical High
$2,041.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,905.46
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$691.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$524.81

Where Idaho 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.

Idaho· 13th of 51

$537

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.