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Fragile X Gene Test

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $135 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$38.02$38.02 to $151
FacilityA hospital or hospital-owned outpatient department$135$51.29 to $234

How much rates vary

Facilitymedian $135 · 10th to 90th $34 to $324Professionalmedian $38 · 10th to 90th $34 to $380
$20.0$50.0$100.0$200.0$500.0facility $135professional $38

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
$40.74
Median
$151.36
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$85.11
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$53.70
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.88
Typical High
$158.49

Where Nebraska 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.

Nebraska $57.54 · 36th 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.