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Fragile X Gene Test

Rhode Island 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?

$57.54

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $69.18 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$33.88 to $87.10
FacilityA hospital or hospital-owned outpatient department$69.18$57.54 to $72.44

How much rates vary

Facilitymedian $69 · 10th to 90th $51 to $195Professionalmedian $43 · 10th to 90th $30 to $158
$50$100$200facility $69professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$66.07
Typical High
$72.44
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$42.66
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$194.98
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$33.88
Typical High
$95.50

Where Rhode Island 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.

Rhode Island· 27th of 51

$57.54

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.