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Fragile X Gene Test

Colorado 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?

$75.86

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $138 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 7 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$43.65$36.31 to $53.70
FacilityA hospital or hospital-owned outpatient department$138$75.86 to $240

How much rates vary

Facilitymedian $138 · 10th to 90th $44 to $288Professionalmedian $44 · 10th to 90th $24 to $87
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $138professional $44

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
$36.31
Median
$125.89
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$43.65
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$169.82
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$83.18
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$134.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$120.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$33.88

Where Colorado 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.

Colorado $75.86 · 15th 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.