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Fragile X Gene Test

Oklahoma 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?

$79.43

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $245 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$42.66$28.84 to $60.26
FacilityA hospital or hospital-owned outpatient department$245$57.54 to $339

How much rates vary

Facilitymedian $245 · 10th to 90th $43 to $427Professionalmedian $43 · 10th to 90th $24 to $72
$10.0$100.0$1.0K$10.0Kfacility $245professional $43

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
$42.66
Median
$57.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$151.36
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$38.02

Where Oklahoma 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.

Oklahoma $79.43 · 13th 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.