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Fragile X Gene Test

Ohio 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?

$45.71

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $83.18 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$31.62$22.91 to $60.26
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $126

How much rates vary

Facilitymedian $83 · 10th to 90th $54 to $229Professionalmedian $32 · 10th to 90th $23 to $135
$20$50$100$200$500$1Kfacility $83professional $32

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
$64.57
Median
$138.04
Typical High
$251.19
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$63.10
Typical High
$288.40
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$10.72
Median
$25.12
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$57.54
Typical High
$467.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$22.91
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.12
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$66.07
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$83.18
CareSource
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$77.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$74.13
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$102.33
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$977.24
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$102.33
Molina
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$51.29
Typical High
$70.79
SummaCare
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$70.79
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$51.29
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$33.88
Typical High
$81.28

Where Ohio 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.

Ohio· 45th of 51

$45.71

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.