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Fragile X Gene Test

Tennessee 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 Tennessee, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $33.88 to $126.

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.

How much rates vary

Facilitymedian $117 · 10th to 90th $45 to $178Professionalmedian $51 · 10th to 90th $26 to $427
$20$50$100$200facility $117professional $51

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
$42.66
Median
$45.71
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$44.67
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.38
Median
$22.39
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.51
Median
$8.91
Typical High
$13.18
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$57.54
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$117.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.90
Typical High
$77.62
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$33.88
Typical High
$57.54

Where Tennessee 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.

Tennessee· 33rd 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.