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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 October 2026.

How much does Fragile X Gene Test cost?

$74.13

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $57.54 to $97.72.

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 $40 · 10th to 90th $40 to $85Professionalmedian $83 · 10th to 90th $29 to $115
$50$100$200$500facility $40professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$85.11
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$97.72
Typical High
$114.82
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$79.43
Median
$117.49
Typical High
$138.04
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$19.50
Typical High
$22.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$81.28
Typical High
$102.33
Medica
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$120.23
Medica
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$69.18
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$63.10
Typical High
$83.18

Where North Dakota sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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· 9th of 51

$74.13

AK $129NE $38.02

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.