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Fragile X Gene Test

Arizona 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 October 2026.

How much does Fragile X Gene Test cost?

$54.95

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $123 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$23.99 to $57.54
FacilityA hospital or hospital-owned outpatient department$123$66.07 to $191

How much rates vary

Facilitymedian $123 · 10th to 90th $42 to $245Professionalmedian $38 · 10th to 90th $24 to $288
$50$100$200facility $123professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$181.97
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$48.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.05
Median
$19.05
Typical High
$23.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.59
Median
$7.59
Typical High
$9.33
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$165.96
Typical High
$245.47
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$56.23
Typical High
$97.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$112.20
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$51.29
Typical High
$223.87
Medica
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$45.71
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$33.88

Where Arizona sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Arizona· 35th of 51

$54.95

AK $129NE $38.02

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.