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MECP2 Gene Test For Rett Syndrome

Kentucky 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?

$407

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $661 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 6 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$331$331 to $437
FacilityA hospital or hospital-owned outpatient department$661$437 to $1,259

How much rates vary

Facilitymedian $661 · 10th to 90th $437 to $9,333Professionalmedian $331 · 10th to 90th $282 to $525
$200$1K$5K$20Kfacility $661professional $331

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
$436.52
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$7,762.47
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$776.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
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
$524.81

Where Kentucky 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.

Kentucky· 40th of 51

$407

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.