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Fragile X Gene Test

New Hampshire 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?

$57.54

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $182 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$33.88 to $85.11
FacilityA hospital or hospital-owned outpatient department$182$107 to $240

How much rates vary

Facilitymedian $182 · 10th to 90th $93 to $302Professionalmedian $37 · 10th to 90th $32 to $132
$50$100$200$500facility $182professional $37

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$181.97
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$213.80
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$60.26
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$57.54
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$33.88
Typical High
$72.44

Where New Hampshire 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.

New Hampshire· 29th of 51

$57.54

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.