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Fragile X Gene Test

Connecticut 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.

Facilitymedian $89 · 10th–90th $58$1580%10%20%10th90th$89Professionalmedian $87 · 10th–90th $38$1260%20%10th90th$87$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$87.10
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$69.18
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$125.89
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$67.61
Typical High
$117.49
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$95.50