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Fragile X Gene Follow-Up Analysis

Massachusetts 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?

$44.67

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $89.13 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 8 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$44.67$36.31 to $44.67
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $129

How much rates vary

Facilitymedian $89 · 10th to 90th $45 to $145Professionalmedian $45 · 10th to 90th $28 to $112
$50$100$200$500$1K$2K$5Kfacility $89professional $45

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
$28.18
Median
$77.62
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$134.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$141.25
Typical High
$257.04
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$47.86
Typical High
$117.49
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$75.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$141.25
Typical High
$257.04
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$102.33

Where Massachusetts 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.

Massachusetts· 24th of 51

$44.67

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.