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MECP2 Gene Test For Rett Syndrome

New York 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?

$427

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $933 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 8 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$316$209 to $447
FacilityA hospital or hospital-owned outpatient department$933$525 to $1,380

How much rates vary

Facilitymedian $933 · 10th to 90th $372 to $1,622Professionalmedian $316 · 10th to 90th $209 to $661
$100$500$2K$10Kfacility $933professional $316

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
$1,000.00
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$2,570.40
Typical High
$2,570.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$524.81
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$1,023.29
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$724.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$602.56
Univera
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,258.93

Where New York 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 York· 36th of 51

$427

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.