go back

MECP2 Gene Test For Rett Syndrome

Illinois 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?

$501

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $437 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 5 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$437$389 to $479
FacilityA hospital or hospital-owned outpatient department$794$537 to $1,047

How much rates vary

Facilitymedian $794 · 10th to 90th $437 to $1,318Professionalmedian $437 · 10th to 90th $288 to $813
$500$1K$2Kfacility $794professional $437

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
$436.52
Median
$794.33
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$524.81

Where Illinois 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.

Illinois· 22nd of 51

$501

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.