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Fragile X Gene Test

Alabama 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.

How much does Fragile X Gene Test cost?

$66.07

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $66.07 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$57.54$38.02 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$57.54 to $75.86

How much rates vary

Facilitymedian $66 · 10th to 90th $51 to $91Professionalmedian $58 · 10th to 90th $34 to $87
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $66professional $58

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
$57.54
Median
$66.07
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54

Where Alabama sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $66.07 · 22nd of 51
AK $129DC $42.66

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.