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Fragile X Gene Follow-Up Analysis

North Carolina 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?

$36.31

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $39.81 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$36.31$31.62 to $46.77
FacilityA hospital or hospital-owned outpatient department$39.81$36.31 to $67.61

How much rates vary

Facilitymedian $40 · 10th to 90th $31 to $148Professionalmedian $36 · 10th to 90th $21 to $63
$20$50$100$200facility $40professional $36

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
$39.81
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$40.74
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$97.72
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$52.48
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$46.77
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$338.84

Where North Carolina 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.

North Carolina· 41st of 51

$36.31

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.