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MECP2 Gene Test For Rett Syndrome

Massachusetts 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?

$525

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $912 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$525$398 to $955
FacilityA hospital or hospital-owned outpatient department$912$525 to $1,549

How much rates vary

Facilitymedian $912 · 10th to 90th $372 to $1,698Professionalmedian $525 · 10th to 90th $316 to $1,148
$500$1K$2K$5Kfacility $912professional $525

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
$371.54
Median
$912.01
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$426.58
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,412.54
Typical High
$2,511.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,148.15
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,412.54
Typical High
$2,511.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,230.27

Where Massachusetts 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.

Massachusetts· 18th of 51

$525

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.