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Fragile X Gene Test

Minnesota 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 Minnesota, 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 $151 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 6 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 $64.57
FacilityA hospital or hospital-owned outpatient department$151$57.54 to $302

How much rates vary

Facilitymedian $151 · 10th to 90th $58 to $447Professionalmedian $58 · 10th to 90th $46 to $91
$50$100$200$500$1Kfacility $151professional $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
$53.70
Median
$53.70
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$53.70
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$117.49
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$123.03

Where Minnesota sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 38th of 51

$57.54

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.