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Fragile X Gene Test

Arkansas 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?

$64.57

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $72.44 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$54.95$43.65 to $85.11
FacilityA hospital or hospital-owned outpatient department$72.44$64.57 to $72.44

How much rates vary

Facilitymedian $72 · 10th to 90th $65 to $89Professionalmedian $55 · 10th to 90th $38 to $87
$50.0$100.0$200.0$500.0$1.0Kfacility $72professional $55

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
$72.44
Median
$72.44
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$57.54

Where Arkansas 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.

Arkansas $64.57 · 25th 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.