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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 July 2026.

Facilitymedian $182 · 10th–90th $87$1,9050%20%10th90th$182Professionalmedian $58 · 10th–90th $37$1070%20%10th90th$58$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$208.93
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$58.88
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$154.88