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Fragile X Gene Follow-Up Analysis

Michigan 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?

$42.66

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $42.66 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$37.15$33.88 to $42.66
FacilityA hospital or hospital-owned outpatient department$42.66$42.66 to $53.70

How much rates vary

Facilitymedian $43 · 10th to 90th $41 to $78Professionalmedian $37 · 10th to 90th $28 to $54
$20$50$100facility $43professional $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
$42.66
Median
$42.66
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$63.10
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$64.57
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$44.67

Where Michigan 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.

Michigan· 27th of 51

$42.66

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.