Fragile X Gene Test

Delaware 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?

$38.02

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $47.86 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$38.02	$25.70 to $47.86
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$47.86	$37.15 to $57.54

How much rates vary

Facilitymedian $48 · 10th to 90th $37 to $257Professionalmedian $38 · 10th to 90th $24 to $87

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86	Facility	None	$47.86	$47.86	$47.86
Aetna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $48.98	Professional	None	$38.02	$47.86	$48.98
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $257.04	Facility	None	$37.15	$37.15	$257.04
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $275.42	Professional	None	$38.02	$38.02	$275.42
Highmark BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54	Facility	None	$57.54	$57.54	$57.54
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $85.11	Professional	None	$23.99	$33.88	$85.11

Where Delaware 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.

Delaware· 50th of 51

$38.02

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.