Billing Transparency For All
NxGen MDx understand from first-hand experience just how complicated healthcare billing can be for patients. That is why we’re committed to cost transparency for all of our testing options and have an in-house team of customer service and billing experts to walk you through the billing process.
Broad In-Network Coverage
Access for All
CareCredit
Expert Guidance
Connect With Our Billing Team
Contact our billing team to see if NxGen MDx’s services qualify under your health plan. Our billing team can be contacted at billing@nxgenmdx.com, or give us a call at (855) 776-9436 ext. 1 if you have any questions about the billing process. Please do NOT contact your healthcare provider with billing questions or concerns.
Our Support Staff
When working with NxGen MDx, you have access to our experienced support staff ready to help with questions related to billing, insurance coverage, and more by calling us at (855) 776-9436 or clicking the link below. Patients should direct all questions related to billing by contacting us directly.
Billing FAQs
Who can I call with questions?
What is an Explanation of Benefits (EOB)?
Once you select NxGen MDx’s tests with your doctor, you may receive an Explanation of Benefits (EOB) from your insurance carrier. This document will outline the status of the NxGen MDx claim against your policy and describes the cost (if any) payable to your insurance carrier. NOTE: The EOB is NOT an invoice, and the estimated cost can change during the course of our appeal for payment with your provider. If you have any questions regarding you EOB, please give us a call at (855) 776-9436 or email us at billing@nxgenmdx.com.
Will my health plan cover your services?
Access for All
At NxGen MDx, our highest priority is ensuring that testing is affordable and accessible. We perform an estimate of each patient’s out-of-pocket cost, and we work with everyone to make sure they understand their options.
How It Works
Step 1
Your healthcare provider orders a test and collects your sample to send to our lab.
Step 2
We receive your sample and begin processing it.
Step 3
We work with you to help you understand the available options.
Step 4
If you think you will have difficulty paying for your testing, NxGen MDx offers an income-based Access for All Program.
Cost Estimator
The Access for All Program will determine your testing costs based on your income, your household size, and federally determined financial criteria. If your application is verified, approved, and if your out-of-pocket responsibility is above the test cost below, NxGen MDx will cap the cost at the reduced price. To estimate what your out-of-pocket responsibility might be if you are eligible for the Access for All Program, consult the table below.
Note that only individuals using insurance or who are uninsured can qualify for the Access for All Program.
Due to federal regulatory restrictions, patients who are covered under government-funded programs such as Medicaid, Medicare, Medicare Advantage, and TriCare are not eligible to apply.
| # of people in household (including current pregnancy) |
$0 test cost if your total household income is equal to or less than |
Reduced test cost* if your total household income is equal to or less than |
|---|---|---|
| 1 | $25,760 | $64,400 |
| 2 | $34,840 | $87,100 |
| 3 | $43,920 | $109,800 |
| 4 | $53,000 | $132,500 |
| 5 | $62,080 | $155,200 |
| 6 | $71,160 | $177,900 |
| 7 | $80,240 | $200,600 |
| 8 | $89,320 | $223,300 |
*Reduced Test Costs
| Test Name | Tier 1 Test Cost | Tier 2 Test Cost |
|---|---|---|
| Early Advantage Panel | $249 | $1230 |
| Early Advantage Panel + CAH & DMD | $349 | $1330 |
| Super Panel | $349 | $1400 |
| Super Panel + CAH & CMD | $349 | $1500 |
| Ultra Panel | $499 | $1740 |
| Reflex Testing (per gene) | $199 | $199 |
| NxGen Informed Prenatal Screening | $249 | $340 |
| Hereditary Cancer Panel | $299 | $1455 |
| UTI | $149 | $340 |
| Vaginosis | $149 | $285 |
| Respiratory Pathogens Panel | $149 | $335 |
Apply for the Access for All Program
Fill out an application for the Access for All Program here. Please note that due to regulatory restrictions, patients who are covered under government-funded programs such as Medicaid, Medicare, Medicare Advantage, and TriCare are not eligible to apply.
Access for All
At NxGen MDx, our highest priority is ensuring that testing is affordable and accessible. We perform an estimate of each patient’s out-of-pocket cost, and we work with everyone to make sure they understand their options.
How It Works
Step 1
Your healthcare provider orders a test and collects your sample to send to our lab.
Step 2
We receive your sample and begin processing it.
Step 3
We work with you to help you understand the available options.
Step 4
If you think you will have difficulty paying for your testing, NxGen MDx offers an income-based Access for All Program.
Cost Estimator – California Residents
The Access for All Program will determine your testing costs based on your income, your household size, and federally determined financial criteria. If your application is verified, approved, and if your out-of-pocket responsibility is above the test cost below, NxGen MDx will cap the cost at the reduced price. To estimate what your out-of-pocket responsibility might be if you are eligible for the Access for All Program, consult the table below.
Note that only individuals using insurance or who are uninsured can qualify for the Access for All Program.
Due to federal regulatory restrictions, patients who are covered under government-funded programs such as Medicaid, Medicare, Medicare Advantage, and TriCare are not eligible to apply.
| # of people in household (including current pregnancy) |
Tier 1 Cost Reduction* if your total household income is equal to or less than |
Tier 2 Cost Reduction* if your total household income is equal to or less than |
|---|---|---|
| 1 | $37,150 | $93,775 |
| 2 | $50,536 | $126,340 |
| 3 | $63,564 | $158,910 |
| 4 | $76,590 | $191,475 |
| 5 | $89,618 | $224,045 |
| 6 | $102,646 | $256,615 |
| 7 | $115,672 | $289,180 |
| 8 | $128,700 | $321,750 |
*Reduced Test Costs
| Test Name | Tier 1 Test Cost | Tier 2 Test Cost |
|---|---|---|
| Early Advantage Panel | $249 | $1230 |
| Early Advantage Panel + CAH & DMD | $349 | $1330 |
| Super Panel | $249 | $1400 |
| Super Panel + CAH & CMD | $349 | $1500 |
| Ultra Panel | $449 | $1740 |
| Reflex Testing (per gene) | $99 | $99 |
| NxGen Informed Prenatal Screening | $199 | $340 |
| Hereditary Cancer Panel | $249 | $1455 |
| UTI | $149 | $340 |
| Vaginosis | $149 | $285 |
| Respiratory Pathogens Panel | $149 | $335 |
Apply for the Access for All Program
Fill out an application for the Access for All Program here. Please note that due to regulatory restrictions, patients who are covered under government-funded programs such as Medicaid, Medicare, Medicare Advantage, and TriCare are not eligible to apply.
Special Financing with CareCredit
NxGen MDx proudly accepts the CareCredit credit card to help you finance your healthcare needs. Now you can can pay your bill from NxGen MDx online with CareCredit and choose from special financing options that may not be available with other credit cards.*
Click here to pay with your CareCredit credit card, apply, or learn more today.
With the CareCredit credit card, you have a simple, flexible way to pay. You can use CareCredit to pay for deductibles, copays and out-of-pocket expenses not covered by insurance that are over $200.* Plus, you can use it again and again at 250,000+ provider and select retail locations nationwide.
NxGen MDx is offering the following financing promotions in partnership with CareCredit
6 Months
deferred interest on purchases over $200*
12 Months
deferred interest on purchases over $500*
24 Months
17.90% APR on purchases over $1000*
CareCredit is not an interest-free credit card and is not an in-house credit program. For 6-month and 12-month payment plans, interest is deferred to the end of the promotional period. This means if your balance is paid in full by the end of the promo period, you will pay no interest. The required minimum monthly payment typically will not pay off the full purchase within the promo period, but you can choose to make higher monthly payments to avoid paying interest.
We also offer 24-month payment plans at a reduced annual percentage rate (APR) with fixed monthly payments until paid in full. This means you will pay interest through the whole promotional period.
24 Months
14.90% APR on purchases over $1000
We also offer 24-month payment plans at a reduced annual percentage rate (APR) with fixed monthly payments until paid in full. This means you will pay interest through the whole promotional period.
Ready to apply? See if you prequalify with no impact to your credit score then apply online for your CareCredit card today.
*Terms & Conditions
- Subject to credit approval.
- Minimum monthly payments required.
- Promotional financing options are available on purchases of $200 or more.
- APR for 6 and 12 month promotional financing options is 26.99%.
- Promotional financing options available through Pay My Provider may differ from options available in-office. See www.carecredit.com for details.
Paying For Your Test
NxGen MDx strives to provide an outstanding patient experience through our high-quality genetic testing, personalized customer service, and transparent billing practices. If your doctor orders one of NxGen MDx’s tests, you will be presented with two payment options: insurance and cash pay.