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Fragile X Gene Test

Montana 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 October 2026.

How much does Fragile X Gene Test cost?

$83.18

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$51.29 to $83.18
FacilityA hospital or hospital-owned outpatient department$97.72$85.11 to $112

How much rates vary

Facilitymedian $98 · 10th to 90th $76 to $170Professionalmedian $78 · 10th to 90th $24 to $102
$50$100$200$500$1Kfacility $98professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$87.10
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$354.81
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$85.11
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$97.72
Typical High
$114.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$97.72
Typical High
$104.71
Providence
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$85.11
Typical High
$323.59
Providence
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$57.54

Where Montana sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Montana· 5th of 51

$83.18

AK $129NE $38.02

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.