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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 July 2026.

How much does Fragile X Gene Test cost?

$70.79

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $63.10 to $83.18.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56 · 10th to 90th $47 to $69Professionalmedian $72 · 10th to 90th $60 to $102
$50$100facility $56professional $72

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
$46.77
Median
$56.23
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
HMSA
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$69.18
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$104.71

Where Hawaii sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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· 18th of 51

$70.79

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.