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Fragile X Gene Follow-Up Analysis

Georgia rates for HCPCS 81244

A laboratory test on a blood sample that measures the length of a repeated stretch of DNA in the FMR1 gene and checks whether that gene has been chemically switched off. It is done after an initial screen has shown a change, in order to define the change precisely. Alterations in this gene cause fragile X syndrome, an inherited cause of learning disability.

Rates data updated July 2026.

How much does Fragile X Gene Follow-Up Analysis cost?

$40.74

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $51.29 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$34.67$26.92 to $42.66
FacilityA hospital or hospital-owned outpatient department$51.29$38.02 to $60.26

How much rates vary

Facilitymedian $51 · 10th to 90th $30 to $83Professionalmedian $35 · 10th to 90th $19 to $79
$20$50$100facility $51professional $35

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
$29.51
Median
$41.69
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$45.71
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$58.88

Where Georgia sits

The same service costs 3.5 times more in Alaska than in Rhode Island. 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.

Georgia· 31st of 51

$40.74

AK $100RI $28.18

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.