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Fragile X Gene Follow-Up Analysis

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $47.86 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$33.88$19.95 to $38.02
FacilityA hospital or hospital-owned outpatient department$47.86$44.67 to $100

How much rates vary

Facilitymedian $48 · 10th to 90th $38 to $214Professionalmedian $34 · 10th to 90th $18 to $81
$20$100$500$2K$10Kfacility $48professional $34

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
$93.33
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$30.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$85.11
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.92
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$63.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$75.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$93.33
Sentara
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$51.29

Where Virginia 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.

Virginia· 37th 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.