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Single-Gene Genetic Test

North Dakota rates for HCPCS 81249

Examination in a specialist laboratory of the DNA of one gene taken from a patient sample, reported as whether particular changes are present in that gene. The finding supports a diagnosis or a treatment decision rather than answering the question by itself.

Rates data updated July 2026.

How much does Single-Gene Genetic Test cost?

$912

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $562 to $1,202.

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 $417 · 10th to 90th $417 to $1,072Professionalmedian $1,023 · 10th to 90th $417 to $1,380
$500$1Kfacility $417professional $1,023

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
$416.87
Median
$416.87
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$707.95
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$616.60
Typical High
$933.25

Where North Dakota sits

The same service costs 3.4 times more in Alaska than in Delaware. 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· 4th of 51

$912

AK $1,349DE $398

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.