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Fragile X Gene Follow-Up Analysis

Illinois 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?

$37.15

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $70.79 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$37.15$28.18 to $42.66
FacilityA hospital or hospital-owned outpatient department$70.79$45.71 to $91.20

How much rates vary

Facilitymedian $71 · 10th to 90th $39 to $123Professionalmedian $37 · 10th to 90th $3 to $79
$5$10$20$50$100$200$500facility $71professional $37

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
$37.15
Median
$70.79
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$37.15
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$158.49
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$30.90
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$120.23
Typical High
$316.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$44.67

Where Illinois 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.

Illinois· 39th of 51

$37.15

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.