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Fragile X Gene Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $74.13 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$50.12$33.88 to $69.18
FacilityA hospital or hospital-owned outpatient department$74.13$57.54 to $100

How much rates vary

Facilitymedian $74 · 10th to 90th $55 to $132Professionalmedian $50 · 10th to 90th $23 to $110
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $74professional $50

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
$54.95
Median
$95.50
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$77.62

Where Missouri 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.

Missouri $57.54 · 31st 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.