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Fragile X Gene Test

Florida 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?

$46.77

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $105 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$25.12 to $70.79
FacilityA hospital or hospital-owned outpatient department$105$89.13 to $105

How much rates vary

Facilitymedian $105 · 10th to 90th $58 to $105Professionalmedian $40 · 10th to 90th $20 to $87
$10$20$50$100$200facility $105professional $40

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
$39.81
Median
$87.10
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.95
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$17.78
Typical High
$17.78
Ambetter
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
AvMed
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$57.54
Typical High
$69.18
AvMed
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$42.66
Typical High
$102.33
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$61.66
Molina
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$45.71
United
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$24.55
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$57.54
Typical High
$57.54

Where Florida 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.

Florida· 44th of 51

$46.77

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.