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MECP2 Gene Test For Rett Syndrome

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $741 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$398$245 to $501
FacilityA hospital or hospital-owned outpatient department$741$525 to $1,148

How much rates vary

Facilitymedian $741 · 10th to 90th $479 to $1,259Professionalmedian $398 · 10th to 90th $209 to $692
$200$500$1K$2Kfacility $741professional $398

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
$501.19
Median
$912.01
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$7,413.10
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$8,317.64
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$602.56

Where Ohio 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.

Ohio· 38th 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.