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Fragile X Gene Test

Utah 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?

$87.10

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 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 6 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$87.10$50.12 to $324
FacilityA hospital or hospital-owned outpatient department$87.10$66.07 to $115

How much rates vary

Facilitymedian $87 · 10th to 90th $60 to $115Professionalmedian $87 · 10th to 90th $34 to $324
$50$100$200facility $87professional $87

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
$87.10
Median
$87.10
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$69.18
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$229.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$64.57
Select Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54

Where Utah sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Utah· 7th of 51

$87.10

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.