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Fragile X Gene Test

Kentucky 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 $60 · 10th–90th $47$1380%20%10th90th$60Professionalmedian $71 · 10th–90th $40$830%20%10th90th$71$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
$46.77
Median
$57.54
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$70.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$251.19
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$57.54