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Fragile X Gene Follow-Up Analysis

New Mexico 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?

$53.70

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $48.98 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$48.98$33.88 to $53.70
FacilityA hospital or hospital-owned outpatient department$145$67.61 to $302

How much rates vary

Facilitymedian $145 · 10th to 90th $41 to $380Professionalmedian $49 · 10th to 90th $19 to $295
$100$1K$10K$100Kfacility $145professional $49

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
$67.61
Median
$134.90
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$239.88
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$40.74
Typical High
$51.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$87.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$40.74
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$36.31

Where New Mexico 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 Mexico· 9th of 51

$53.70

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.