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Fragile X Gene Test

Maryland 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?

$46.77

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $42.66 to $87.10.

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 $69 · 10th to 90th $43 to $282Professionalmedian $47 · 10th to 90th $26 to $100
$1.0$10.0$100.0$1.0Kfacility $69professional $47

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
$42.66
Median
$234.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$112.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$50.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$45.71

Where Maryland 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.

Maryland $46.77 · 47th 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.