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Fragile X Gene Test

Nationwide rates for HCPCS 81243

A laboratory test on a blood sample that examines a specific gene on the X chromosome for an abnormally expanded stretch of repeated genetic letters. That expansion is the cause of fragile X syndrome, an inherited condition that can cause developmental delay and intellectual disability. The test identifies whether such an expansion is present.

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $49$2750%10%10th90th$95Professionalmedian $58 · 10th–90th $29$1120%10%20%10th90th$58$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$97.72
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$37.15
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$120.23
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$69.18
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$87.10