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Fragile X Gene Test

Iowa 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 $110 · 10th–90th $44$1820%10%10th90th$110Professionalmedian $55 · 10th–90th $34$3800%10%10th90th$55$10.0$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
$43.65
Median
$134.90
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$134.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$229.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$75.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54