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Fragile X Gene Follow-Up Analysis

Missouri 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?

$43.65

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $58.88 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$38.90$26.92 to $51.29
FacilityA hospital or hospital-owned outpatient department$58.88$44.67 to $77.62

How much rates vary

Facilitymedian $59 · 10th to 90th $41 to $105Professionalmedian $39 · 10th to 90th $18 to $87
$20$50$100$200facility $59professional $39

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
$43.65
Median
$75.86
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.90
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$87.10
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$35.48
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$60.26

Where Missouri 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.

Missouri· 25th of 51

$43.65

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.