go back

MECP2 Gene Test For Rett Syndrome

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $1,288 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$407$407 to $427
FacilityA hospital or hospital-owned outpatient department$1,288$407 to $1,698

How much rates vary

Facilitymedian $1,288 · 10th to 90th $407 to $2,512Professionalmedian $407 · 10th to 90th $316 to $457
$500$1K$2Kfacility $1,288professional $407

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
$407.38
Median
$1,288.25
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,737.80
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$707.95
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
$524.81

Where South Carolina 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.

South Carolina· 37th 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.