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MECP2 Gene Test

Tennessee rates for HCPCS 81304

Looks for changes in the MECP2 gene in a blood sample. Changes in this gene cause Rett syndrome, a disorder that affects brain development and leads to loss of purposeful hand use, difficulty with speech, and problems with movement, occurring mainly in girls.

Rates data updated October 2026.

How much does MECP2 Gene Test cost?

$123

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $89.13 to $339.

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.

How much rates vary

Facilitymedian $309 · 10th to 90th $112 to $457Professionalmedian $123 · 10th to 90th $68 to $1,122
$50$100$200$500$1Kfacility $309professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$117.49
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$58.88
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$23.44
Typical High
$34.67
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$123.03
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$309.03
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$81.28
Typical High
$204.17
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$89.13
Typical High
$151.36

Where Tennessee sits

The same service costs 5.8 times more in Texas than in Alabama. 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· 33rd of 51

$123

TX $363AL $63.10

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.