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MECP2 Known Family Variant Test

New Mexico rates for HCPCS 81303

A blood test that checks for one specific change in the MECP2 gene that has already been identified in the family. Changes in this gene cause Rett syndrome, a disorder of brain development, and this version looks only for the family's known change rather than reading the whole gene.

Rates data updated July 2026.

How much does MECP2 Known Family Variant Test cost?

$145

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $182 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$132$89.13 to $145
FacilityA hospital or hospital-owned outpatient department$182$107 to $363

How much rates vary

Facilitymedian $182 · 10th to 90th $78 to $389Professionalmedian $132 · 10th to 90th $50 to $794
$50$100$200$500facility $182professional $132

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
$181.97
Median
$363.08
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$234.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$107.15
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$72.44

Where New Mexico sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

New Mexico· 9th of 51

$145

AK $269MD $89.13

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.