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Fragile X Gene Follow-Up Analysis

Montana 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?

$60.26

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $67.61 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$56.23$51.29 to $135
FacilityA hospital or hospital-owned outpatient department$67.61$56.23 to $87.10

How much rates vary

Facilitymedian $68 · 10th to 90th $45 to $138Professionalmedian $56 · 10th to 90th $19 to $295
$20$50$100$200facility $68professional $56

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
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$138.04
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$138.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$44.67

Where Montana 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.

Montana· 6th of 51

$60.26

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.