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Fragile X Gene Follow-Up Analysis

Rhode Island 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?

$28.18

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $53.70 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 4 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$28.18$28.18 to $33.88
FacilityA hospital or hospital-owned outpatient department$53.70$51.29 to $102

How much rates vary

Facilitymedian $54 · 10th to 90th $45 to $257Professionalmedian $28 · 10th to 90th $28 to $45
$20$50$100$200facility $54professional $28

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$64.57

Where Rhode Island 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.

Rhode Island· 51st of 51

$28.18

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.