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Fragile X Gene Test

Hawaii 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?

$69.18

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $63.10 to $70.79.

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.

How much rates vary

Professionalmedian $69 · 10th to 90th $58 to $87
$50$100professional $69

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
HMSA
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$69.18
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$67.61
Typical High
$100.00

Where Hawaii 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.

Hawaii· 12th of 51

$69.18

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.