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MECP2 Gene Test For Rett Syndrome

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $1,023 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$427$316 to $447
FacilityA hospital or hospital-owned outpatient department$1,023$646 to $1,445

How much rates vary

Facilitymedian $1,023 · 10th to 90th $447 to $1,995Professionalmedian $427 · 10th to 90th $288 to $525
$500$1K$2K$5K$10Kfacility $1,023professional $427

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
$446.68
Median
$1,023.29
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$501.19
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,000.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$1,548.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$1,318.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$707.95

Where Pennsylvania 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.

Pennsylvania· 28th 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.