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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 July 2026.

How much does Fragile X Gene Test cost?

$69.18

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $178 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 5 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$51.29$42.66 to $69.18
FacilityA hospital or hospital-owned outpatient department$178$83.18 to $331

How much rates vary

Facilitymedian $178 · 10th to 90th $51 to $479Professionalmedian $51 · 10th to 90th $24 to $380
$100.0$1.0K$10.0K$100.0Kfacility $178professional $51

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
$69.18
Median
$169.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$302.00
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$51.29
Typical High
$64.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$45.71

Where New Mexico 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.

New Mexico $69.18 · 20th 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.