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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 July 2026.

How much does Fragile X Gene Test cost?

$45.71

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $141 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$45.71$38.02 to $87.10
FacilityA hospital or hospital-owned outpatient department$141$66.07 to $229

How much rates vary

Facilitymedian $141 · 10th to 90th $49 to $257Professionalmedian $46 · 10th to 90th $24 to $112
$0.1$1.0$10.0$100.0$1.0Kfacility $141professional $46

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
$67.61
Median
$199.53
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$162.18
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$51.29
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54

Where Arizona 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.

Arizona $45.71 · 50th 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.