go back

Fragile X Gene Follow-Up Analysis

Ohio 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?

$38.02

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $36.31 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 8 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$23.99 to $42.66
FacilityA hospital or hospital-owned outpatient department$67.61$44.67 to $93.33

How much rates vary

Facilitymedian $68 · 10th to 90th $36 to $102Professionalmedian $36 · 10th to 90th $18 to $74
$20$50$100$200facility $68professional $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
$36.31
Median
$85.11
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$58.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$100.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$186.21
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$48.98
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$61.66

Where Ohio 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.

Ohio· 35th of 51

$38.02

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.