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Fragile X Gene Test

Texas 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 $107 · 10th–90th $43$2950%5%10%10th90th$107Professionalmedian $44 · 10th–90th $6$870%10%10th90th$44$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$79.43
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$190.55
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$39.81
Typical High
$77.62
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$97.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$56.23
Typical High
$97.72
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$57.54
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$57.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$120.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$77.62