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Fragile X Gene Test

North Dakota rates for HCPCS 81243

A laboratory test on a blood sample that examines a specific gene on the X chromosome for an abnormally expanded stretch of repeated genetic letters. That expansion is the cause of fragile X syndrome, an inherited condition that can cause developmental delay and intellectual disability. The test identifies whether such an expansion is present.

Rates data updated July 2026.

How much does Fragile X Gene Test cost?

$87.10

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $43.65 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$87.10$69.18 to $115
FacilityA hospital or hospital-owned outpatient department$43.65$39.81 to $53.70

How much rates vary

Facilitymedian $44 · 10th to 90th $40 to $102Professionalmedian $87 · 10th to 90th $40 to $129
$50$100$200$500$1Kfacility $44professional $87

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
$39.81
Median
$39.81
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$102.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$67.61
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$57.54
Typical High
$87.10

Where North Dakota sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

North Dakota· 5th of 51

$87.10

AK $129DC $42.66

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.