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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 July 2026.

How much does Fragile X Gene Test cost?

$51.29

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $87.10 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$45.71$42.66 to $66.07
FacilityA hospital or hospital-owned outpatient department$87.10$51.29 to $191

How much rates vary

Facilitymedian $87 · 10th to 90th $43 to $245Professionalmedian $46 · 10th to 90th $34 to $123
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $87professional $46

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
$42.66
Median
$87.10
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$117.49
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$57.54

Where Tennessee 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.

Tennessee $51.29 · 45th 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.