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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 July 2026.

Facilitymedian $69 · 10th–90th $58$3310%20%10th90th$69Professionalmedian $87 · 10th–90th $40$870%50%10th$87$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$83.18