go back

MECP2 Gene Test For Rett Syndrome

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $661 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 4 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$389 to $447
FacilityA hospital or hospital-owned outpatient department$661$437 to $794

How much rates vary

Facilitymedian $661 · 10th to 90th $437 to $794Professionalmedian $427 · 10th to 90th $355 to $447
$500$1K$2Kfacility $661professional $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
$436.52
Median
$660.69
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$575.44

Where West Virginia 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.

West Virginia· 35th 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.