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Fragile X Gene Follow-Up Analysis

Maine 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 Maine, 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 $72.44 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$44.67$36.31 to $44.67
FacilityA hospital or hospital-owned outpatient department$72.44$44.67 to $182

How much rates vary

Facilitymedian $72 · 10th to 90th $45 to $195Professionalmedian $45 · 10th to 90th $27 to $50
$20$50$100$200facility $72professional $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
$44.67
Median
$44.67
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$44.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$181.97
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$69.18

Where Maine 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.

Maine· 21st 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.