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Fragile X Gene Test

Nevada 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?

$61.66

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $89.13 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 7 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$54.95$31.62 to $87.10
FacilityA hospital or hospital-owned outpatient department$89.13$47.86 to $302

How much rates vary

Facilitymedian $89 · 10th to 90th $45 to $302Professionalmedian $55 · 10th to 90th $24 to $112
$5.0$20.0$100.0$500.0facility $89professional $55

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
$44.67
Median
$109.65
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$47.86
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$67.61
Typical High
$83.18
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.13
Typical High
$87.10
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$63.10

Where Nevada 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.

Nevada $61.66 · 27th 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.