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Fragile X Gene Test

New Mexico 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 Mexico, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $186 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$42.66$23.99 to $57.54
FacilityA hospital or hospital-owned outpatient department$186$57.54 to $331

How much rates vary

Facilitymedian $186 · 10th to 90th $51 to $457Professionalmedian $43 · 10th to 90th $24 to $76
$50$100$200$500facility $186professional $43

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
$42.66
Median
$181.97
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$69.18
Typical High
$69.18
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$288.40
Typical High
$467.74
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$46.77
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$51.29
Typical High
$128.82
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$91.20
Providence
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Providence
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$75.86
Typical High
$81.28
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$33.88

Where New Mexico 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 Mexico· 32nd 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.