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Fragile X Gene Test

Idaho 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?

$57.54

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $91.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$53.70 to $70.79
FacilityA hospital or hospital-owned outpatient department$91.20$57.54 to $132

How much rates vary

Facilitymedian $91 · 10th to 90th $58 to $170Professionalmedian $58 · 10th to 90th $40 to $112
$20.0$50.0$100.0$200.0facility $91professional $58

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
$102.33
Median
$131.83
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$109.65
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$117.49
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$93.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$48.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54

Where Idaho sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $57.54 · 32nd of 51
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.