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Friedreich Ataxia Gene Test (FXN)

North Carolina rates for HCPCS 81289

A genetic test that examines the FXN gene, the gene linked to Friedreich ataxia, an inherited condition that gradually affects balance, coordination, speech, and the heart. It is used to confirm the cause in someone with symptoms, or to find out whether a relative carries the same change.

Rates data updated July 2026.

How much does Friedreich Ataxia Gene Test (FXN) cost?

$148

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $166 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 6 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$148$123 to $191
FacilityA hospital or hospital-owned outpatient department$166$148 to $309

How much rates vary

Facilitymedian $166 · 10th to 90th $141 to $617Professionalmedian $148 · 10th to 90th $85 to $263
$100$200$500$1Kfacility $166professional $148

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
$117.49
Median
$162.18
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$407.38
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$194.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,380.38

Where North Carolina 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 Carolina· 44th of 51

$148

AK $417DE $123

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.