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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 July 2026.

How much does Fragile X Gene Test cost?

$46.77

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $85.11 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 $48.98
FacilityA hospital or hospital-owned outpatient department$85.11$64.57 to $135

How much rates vary

Facilitymedian $85 · 10th to 90th $47 to $135Professionalmedian $46 · 10th to 90th $38 to $49
$50$100$200facility $85professional $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
$46.77
Median
$85.11
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$275.42
Typical High
$275.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$63.10

Where West Virginia 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.

West Virginia· 49th of 51

$46.77

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.