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Fragile X Gene Follow-Up Analysis

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $145 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$30.20$28.18 to $37.15
FacilityA hospital or hospital-owned outpatient department$145$58.88 to $269

How much rates vary

Facilitymedian $145 · 10th to 90th $45 to $9,333Professionalmedian $30 · 10th to 90th $28 to $51
$100$1K$10Kfacility $145professional $30

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
$57.54
Median
$144.54
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$47.86
Typical High
$100.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$85.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$44.67
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$46.77

Where New Jersey 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.

New Jersey· 43rd 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.