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MECP2 Gene Test For Rett Syndrome

Rhode Island 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?

$389

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $1,514 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 3 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$372$372 to $389
FacilityA hospital or hospital-owned outpatient department$1,514$603 to $2,399

How much rates vary

Facilitymedian $1,514 · 10th to 90th $562 to $2,399Professionalmedian $372 · 10th to 90th $316 to $525
$200$500$1K$2Kfacility $1,514professional $372

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$758.58

Where Rhode Island 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.

Rhode Island· 47th of 51

$389

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.