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Fragile X Gene Test

Michigan 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?

$53.70

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $57.54 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 7 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$53.70$42.66 to $77.62
FacilityA hospital or hospital-owned outpatient department$57.54$53.70 to $100

How much rates vary

Facilitymedian $58 · 10th to 90th $54 to $813Professionalmedian $54 · 10th to 90th $37 to $87
$10.0$20.0$50.0$100.0$200.0$500.0facility $58professional $54

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
$53.70
Median
$53.70
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$42.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$58.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$79.43
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$134.90
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$83.18
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$66.07
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$57.54

Where Michigan 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.

Michigan $53.70 · 42nd 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.