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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 October 2026.

How much does Fragile X Gene Test cost?

$63.10

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $93.33 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$60.26$48.98 to $75.86
FacilityA hospital or hospital-owned outpatient department$93.33$63.10 to $138

How much rates vary

Facilitymedian $93 · 10th to 90th $58 to $219Professionalmedian $60 · 10th to 90th $24 to $98
$50$100$200facility $93professional $60

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
$131.83
Median
$141.25
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$87.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$158.49
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$64.57
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$138.04
Typical High
$147.91
Moda Health
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$57.54
Typical High
$85.11
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$64.57
Typical High
$114.82
Providence
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$93.33
Typical High
$338.84
Providence
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$64.57
Typical High
$89.13
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$190.55
Typical High
$245.47
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$48.98
Typical High
$69.18
United
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$85.11
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$69.18

Where Oregon 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.

Oregon· 18th of 51

$63.10

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.