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Fragile X Gene Test

Oregon 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?

$64.57

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $63.10 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 8 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$70.79$54.95 to $87.10
FacilityA hospital or hospital-owned outpatient department$63.10$57.54 to $112

How much rates vary

Facilitymedian $63 · 10th to 90th $58 to $141Professionalmedian $71 · 10th to 90th $49 to $112
$50.0$100.0$200.0facility $63professional $71

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
$74.13
Median
$117.49
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$151.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$114.82
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$69.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$48.98
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$69.18

Where Oregon 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.

Oregon $64.57 · 26th 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.