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MECP2 Gene Test For Rett Syndrome

Indiana 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?

$437

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $589 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$302 to $437
FacilityA hospital or hospital-owned outpatient department$589$525 to $1,148

How much rates vary

Facilitymedian $589 · 10th to 90th $525 to $1,585Professionalmedian $437 · 10th to 90th $209 to $457
$200$500$1K$2K$5Kfacility $589professional $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
$524.81
Median
$831.76
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$436.52
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$7,585.78
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$870.96
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$645.65
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$575.44

Where Indiana 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.

Indiana· 34th of 51

$437

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.