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MECP2 Gene Test For Rett Syndrome

New Jersey 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?

$447

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $891 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$417$324 to $447
FacilityA hospital or hospital-owned outpatient department$891$692 to $2,399

How much rates vary

Facilitymedian $891 · 10th to 90th $525 to $5,248Professionalmedian $417 · 10th to 90th $282 to $603
$200$500$1K$2K$5K$10K$20Kfacility $891professional $417

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
$676.08
Median
$707.95
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,148.15
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$537.03

Where New Jersey 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.

New Jersey· 29th of 51

$447

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.