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Fragile X Gene Test

South Carolina 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?

$46.77

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $182 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 5 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$44.67$44.67 to $50.12
FacilityA hospital or hospital-owned outpatient department$182$69.18 to $851

How much rates vary

Facilitymedian $182 · 10th to 90th $45 to $1,047Professionalmedian $45 · 10th to 90th $36 to $69
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $182professional $45

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
$44.67
Median
$181.97
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$69.18

Where South Carolina 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.

South Carolina $46.77 · 48th 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.