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MECP2 Gene Test For Rett Syndrome

Maine 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 Maine, 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 $525 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$525$525 to $661
FacilityA hospital or hospital-owned outpatient department$525$525 to $1,202

How much rates vary

Facilitymedian $525 · 10th to 90th $525 to $1,318Professionalmedian $525 · 10th to 90th $282 to $832
$200$500$1K$2Kfacility $525professional $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
$524.81
Median
$524.81
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,148.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$933.25

Where Maine 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.

Maine· 15th 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.