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Fragile X Gene Follow-Up Analysis

South 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 South 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 $83.18 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$36.31$34.67 to $38.90
FacilityA hospital or hospital-owned outpatient department$83.18$34.67 to $145

How much rates vary

Facilitymedian $83 · 10th to 90th $32 to $214Professionalmedian $36 · 10th to 90th $28 to $54
$20$50$100$200facility $83professional $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
$31.62
Median
$109.65
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$89.13
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$44.67

Where South 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.

South Carolina· 42nd 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.