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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.

Facilitymedian $63 · 10th–90th $58$1410%20%40%10th90th$63Professionalmedian $71 · 10th–90th $49$1120%10%10th90th$71$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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