go back

Fragile X Gene Test

West Virginia 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?

$46.77

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $141 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$28.84 to $105
FacilityA hospital or hospital-owned outpatient department$141$56.23 to $170

How much rates vary

Facilitymedian $141 · 10th to 90th $47 to $257Professionalmedian $47 · 10th to 90th $24 to $105
$20$50$100$200$500facility $141professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$46.77
Typical High
$48.98
CareSource
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$69.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$141.25
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$275.42
Typical High
$275.42
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$204.17
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$28.84
Typical High
$104.71

Where West Virginia 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.

West Virginia· 42nd of 51

$46.77

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.