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Fragile X Gene Follow-Up Analysis

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $69.18 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$35.48$33.88 to $44.67
FacilityA hospital or hospital-owned outpatient department$69.18$38.02 to $148

How much rates vary

Facilitymedian $69 · 10th to 90th $34 to $195Professionalmedian $35 · 10th to 90th $25 to $123
$10$20$50$100$200facility $69professional $35

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
$33.88
Median
$69.18
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$44.67
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$93.33
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$61.66
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$44.67

Where Tennessee 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.

Tennessee· 36th 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.