Confidential, low-cost, and free STD testing across North Dakota — compare clinics, labs, costs, and at-home options, and see how North Dakota's reported STI rates stack up against the Midwest and the nation.
123 public & community clinics serve North Dakota. Below are 12 testing centers from North Dakota's largest cities — open any city for its full local list.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay — required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Beyond the public testing sites above, these federally certified (CLIA) labs operate across North Dakota — each lab's town is shown on its card below. Many
test through a doctor's order or by appointment rather than walk-in, so call ahead to
confirm STD/STI testing and availability before visiting.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — across North Dakota. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in North Dakota
if you'd rather skip the
trip, an at-home kit ships to North Dakota, you collect the sample privately, and mail it back to a CLIA-certified
lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic,
no waiting room — and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported
TakeMeHome
program mails free at-home HIV self-test kits — and, in many areas, free STI kits — to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and
treated by a clinician. Prices and panels shown are illustrative and change often — confirm current details on
the provider's site.
About North Dakota
Getting tested in North Dakota
North Dakota offers testing for 8 common STDs through a network that spans its 53 counties and 842 cities. You can choose from 32 featured labs, 123 public clinics, and 161 pharmacies, as well as free public clinics, sliding‑scale community health centers, and at‑home kits that fit any budget. Scroll below to locate a clinic or city page and see all of your testing options.
Free & low-cost testing in all 53 counties · at-home kits ship statewide
Largest metros
Where most North Dakota testing demand concentrates — each has its own local guide.
State-level Census (ACS) figures that shape testing demand and access. Median age and income are population-weighted estimates.
Residents
783,926
Median age
35
Median income
$72,754
Below poverty
11.5%
College-educated
33%
Statewide data
STDs & HIV in North Dakota: the statewide picture
How reported STI rates across North Dakota compare with the Midwest region and the United States, using the most recent CDC surveillance data. Data for all 53 counties feeds the county and city pages linked below. About 6.7% of North Dakota adults are uninsured — a key reason the free and low-cost testing options below matter.
An estimated ~31% of North Dakota residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why testing access across the state matters.
North Dakota ranks #30 of 51 U.S. states & DC for chlamydia — lower than 57% of states
Reported STD rates per 100,000 — North Dakota vs Midwest vs U.S.
North DakotaMidwestU.S.
Infection
North Dakota
Midwest
United States
Chlamydia
436.43,421 cases▼ 11%
469.4
492.2
Gonorrhea
147.21,154 cases▼ 18%
161.6
179.5
Syphilis (P&S)
12.497 cases▼ 22%
12.9
15.8
Syphilis (early)
2.822 cases▼ 82%
10.1
16
Syphilis (late/unknown)
1294 cases▼ 59%
19.3
29.5
Rates per 100,000 population, latest year. Source: CDC NCHHSTP AtlasPlus (all-ages basis). Bars are scaled to the highest rate shown; the badge is each North Dakota rate versus the U.S. average.
Reported STD rates in North Dakota over time (per 100,000)
Chlamydia ▼ 8% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in North Dakota, chlamydia has fallen from 457.2 to 436.4 per 100,000 (5%), gonorrhea has fallen from 213.1 to 147.2 per 100,000 (31%), and P&S syphilis has risen from 4.1 to 12.4 per 100,000 (202%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus.
Community health context
What shapes testing access in North Dakota
Adults uninsured
6.7%
Primary-care shortage counties
42 of 53
Public & community clinics
123
Pharmacies statewide
161
Social Vulnerability Index · North Dakota's counties average the 29th percentile nationally
Lower insurance coverage and a thin clinic-to-population ratio raise the value of free public clinics and confidential at-home testing across North Dakota (pop. 783,926). Sources: U.S. Census ACS (uninsured), HRSA & CDC NPIN (clinics), NPPES & OpenStreetMap (pharmacies), CDC/ATSDR SVI.
Statewide HIV snapshot
HIV in North Dakota (2023)
New diagnoses
3.2 / 100k
People living with HIV
570
On PrEP (coverage)
19.9%
Virally suppressed
52.8%
North Dakota HIV care continuum (2023)
North Dakota reports 3.2 new HIV diagnoses per 100,000 — below the U.S. rate of 13.7. The rate has fallen42% since 2020.
Among North Dakota residents living with HIV, 64.7% know their status · 85.7% are linked to care · 75.8% are in care · 52.8% are virally suppressed.
On prevention, 19.9% of those who could benefit from PrEP are taking it (below the 31.3% national average).
Early, routine testing is what moves these numbers — it is the entry point to PrEP, treatment, and viral suppression.
Source: CDC NCHHSTP AtlasPlus. The CDC recommends everyone aged 13–64 test for HIV at least once — every clinic and lab listed above offers HIV testing.
Also screened
Viral hepatitis in North Dakota
Comprehensive panels also screen for hepatitis B and C, both sexually transmissible. Per 100,000, North Dakota vs U.S.
Hepatitis A (acute)
0.1U.S. 0.5
Hepatitis B (acute)
0.1U.S. 0.7
Hepatitis C (acute)
1.7U.S. 1.5
Congenital syphilis in North Dakota
Pregnant or planning to be?
Congenital syphilis — passed from parent to baby in pregnancy — is the fastest-rising STI in the country.
North Dakota reported 2 cases in 2023, up from 3 in 2020.
Nationally, cases climbed from 2,163 (2020) to 3,882 (2023).
It is almost entirely preventable with a syphilis test at the first prenatal visit.
Source: CDC NCHHSTP AtlasPlus, 2023.
North Dakota's STD rates lower than Midwest and national averages
In 2023, North Dakota's state-level STD rates were below both the Midwest region and U.S. averages. Chlamydia rates (436.4 per 100,000) were 7% lower than the Midwest (469.4) and 11% lower than the U.S. (492.2). Gonorrhea rates (147.2) were 9% lower than the Midwest (161.6) and 18% lower than the U.S. (179.5). Syphilis (P&S) rates (12.4) were 4% lower than the Midwest (12.9) but 22% lower than the U.S. (15.8).
Trends show declining Chlamydia (down 5% since 2020) and Gonorrhea (down 31% since 2020), while Syphilis (P&S) increased 202% from 2020 to 2023. North Dakota's HIV new diagnoses (3.2 per 100,000) were 77% lower than the U.S. (13.7). Viral suppression among people living with HIV was 52.8%, and 64.7% knew their status in 2023.
North Dakota's STD rates remain below regional and national levels despite varying trends. Chlamydia and Gonorrhea declines contrast with Syphilis growth, while HIV rates significantly lag U.S. averages. These comparisons highlight both progress and ongoing challenges in STD prevention across the state.
North Dakota offers widespread testing access with varied cost options
North Dakota has 32 featured labs, 123 public clinics, and 161 pharmacies offering testing, with 42 of 53 counties designated as Health Professional Shortage Areas (HPSA). These providers ensure coverage across rural and urban regions, though HPSA counties may face unique challenges in resource distribution.
Testing costs vary: 6.7% of residents are uninsured, but free public clinics and sliding-scale community health centers reduce financial barriers. Pharmacies provide at-home kits, while labs may charge different fees, though specific pricing details are not outlined in available data.
The state’s network includes 123 public clinics and 161 pharmacies, emphasizing accessibility through multiple channels. While no per-county testing rates are provided, the combination of free services, sliding-scale options, and at-home kits aims to accommodate diverse patient needs across North Dakota’s population.
Young adults aged 15–24 face highest STI risk in North Dakota
North Dakota's 15–24 age group carries the highest reported STI rates nationally, despite comprising 31.2% of the state’s population aged 15–34. National data highlights this group’s elevated risk, though state-specific STI rates for this bracket are not individually reported. The broader 15–34 cohort represents a significant portion of the population, underscoring the importance of targeted testing.
Individuals under 25 should undergo annual STI testing, per state guidelines. Those with new or multiple sexual partners are advised to test every 3 months. These recommendations align with national best practices, emphasizing regular screening to mitigate transmission risks among high-activity groups, though no state-specific compliance rates are available.
All residents aged 13–64 are encouraged to get tested for HIV at least once, per state protocols. This universal recommendation aims to identify infections early, though no data on testing participation rates exist. Combined with age-specific guidelines, these measures target both broad and high-risk populations to improve public health outcomes.
North Dakota offers multiple prevention options and accessible testing locations
North Dakota offers multiple prevention options and accessible testing locations. Key strategies include condom use, HPV and hepatitis B vaccination, and HIV prevention medication (PrEP). Testing is available at 32 featured labs, 123 public clinics, and 161 pharmacies statewide. These resources ensure broad access to STD prevention and care. Individuals can find services through local health departments or participating pharmacies.
Public clinics and pharmacies provide convenient access to STD prevention and testing. With 123 public clinics and 161 pharmacies across North Dakota, residents can find services in urban and rural areas. Featured labs offer specialized testing, ensuring accurate results. People are encouraged to contact local health departments for specific locations and hours.
North Dakota’s network of providers supports proactive health management. By utilizing condoms, vaccinations, and PrEP, individuals can reduce STD risks. Testing availability at labs, clinics, and pharmacies ensures timely care. Residents are advised to consult healthcare providers for personalized prevention plans.
Reported counts only capture people who got tested — and because most STDs cause no symptoms, real transmission runs higher than any surveillance number suggests, so North Dakota's below-average numbers are no reason to skip screening — consistent testing is what keeps them low.
Untreated, these infections do lasting damage: chlamydia and gonorrhea scar the reproductive system and cause infertility; syphilis can lead to stillbirth and organ damage; any active STI raises HIV risk. Caught early, almost all are curable or controllable with a single course of treatment.
Make it routine, not reactive: test as part of your annual check-up if you're sexually active, every three months with new or multiple partners, and before unprotected sex with a new partner. Since 2015 the CDC has urged insurers to cover annual screening for women under 25 at no cost.
Testing protects more than you: a silent infection passes to partners unknowingly. When North Dakota residents test on a schedule, the whole state's transmission drops — knowing your status is the single highest-leverage thing you can do.
Reference
STD testing guidelines for North Dakota
Two quick references for getting tested in North Dakota: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection (the earliest a test can reliably detect it). Select any infection to open its in-depth testing guide — every clinic and lab listed above for North Dakota screens for them.
Who should get tested, and how often
Based on current CDC screening recommendations.
Group
Tests
How often
Everyone aged 13–64
HIV
At least once
Sexually active women under 25
Chlamydia, gonorrhea
Every year
Women 25+ with new or multiple partners
Chlamydia, gonorrhea
Every year
Pregnant people
HIV, syphilis, hepatitis B & C, chlamydia
Early in pregnancy
Gay & bisexual men (MSM)
Chlamydia, gonorrhea, syphilis, HIV
Every 3–6 months
Anyone who shares injection equipment
HIV, hepatitis B & C
At least yearly
All adults at least once
Hepatitis C
At least once
When to test: STD detection windows
Testing too early can return a false negative — confirm timing with a North Dakota-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving North Dakota often test free or on a sliding scale; private labs and at-home kits
bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full
guide to STD test costs for insurance, free, and at-home options.
Test
Reference price
CPT / HCPCS
Chlamydia (NAAT)
$47.80
87491
Gonorrhea (NAAT)
$47.80
87591
Trichomoniasis (NAAT)
$47.76
87661
HIV-1/2 antigen/antibody
$79.20
87389
HIV-1/2 antibody
$22.44
86703
Syphilis (RPR/VDRL)
$5.61
86592
Syphilis (treponemal antibody)
$17.49
86780
Herpes (HSV NAAT)
$47.76
87529
Hepatitis B surface antigen
$15.33
87340
Hepatitis C antibody
$29.16
86803
Source: Medicare Clinical Laboratory Fee Schedule, CMS — 2025 rates (data.cms.gov). Reference rate for the lab assay only — a clinic visit, sample collection, or a
bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Privacy
Confidentiality & consent in North Dakota
The questions North Dakota residents ask most before testing, answered under North Dakota law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In North Dakota, minors aged 14 and older can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many North Dakota health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. North Dakota permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of North Dakota, telehealth covers the rest of the picture — HIV-prevention
medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back
positive. All prescribed by licensed U.S. clinicians.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
Free online PrEP & DoxyPEP — HIV prevention, home lab kits, no in-person visit
Pricing varies by insurance and changes often — confirm on the provider's site. These services are not a
substitute for emergency care.
Browse by city
STD testing in every North Dakota city
Choose your city for the local picture — nearby clinics, lab prices, county STI rates, and at-home kits shipped to your door. We cover all 842 North Dakota cities and towns; the largest are below.
Answers to the questions people ask most before getting tested.
How much does STD testing cost in North Dakota?
Testing is free at public clinics like North Dakota's 123 community health centers. A single test starts at $24, and a full panel costs about $139. At-home kits range from $99 to $209, depending on the provider.
Where can I get tested for STDs across North Dakota?
You can get tested at 123 public clinics, 161 pharmacies, or 32 featured labs statewide. Many community clinics offer sliding-scale fees for uninsured residents, and at-home test kits ship to all 53 counties.
How many STD testing options are available in North Dakota?
North Dakota has 32 featured labs, 123 public clinics, and 161 pharmacies offering STD testing. These include both in-person and at-home options to serve the state's 842 cities and 53 counties.
Are there free or low-cost testing options for uninsured people?
Yes, North Dakota's public clinics provide free or low-cost testing for uninsured residents. Sliding-scale fees are available at community health centers, and some pharmacies offer affordable options.
Is my STD test confidential or anonymous in North Dakota?
Testing at public clinics and labs is confidential, meaning results are shared with healthcare providers but not third parties without consent. At-home kits offer the most privacy, as results are sent directly to you.
Can minors get STD testing without parental consent in North Dakota?
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own. This applies to all 53 counties and is guaranteed by state law.
Why should I get tested for STDs even if I have no symptoms?
Many STDs like chlamydia and gonorrhea have no symptoms but can cause serious health issues if untreated. North Dakota's 2023 chlamydia rate was 436.4 per 100,000 people, highlighting the importance of regular screening.
How soon after potential exposure should I get tested?
The CDC recommends testing 1–2 weeks after potential exposure for accurate results. North Dakota's guidelines also advise annual screening for those under 25 or testing every 3 months with new or multiple partners.
What infections are included in a standard STD test panel?
A standard panel covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis. North Dakota's public clinics and labs typically offer these tests as part of routine screening.
How do at-home STD test kits work in North Dakota?
At-home kits ship to all 53 counties and include instructions for collecting a sample. Results are sent online or by mail in 1–2 days, and telehealth treatment is available through some providers.
How does North Dakota's chlamydia rate compare to the rest of the U.S.?
North Dakota's 2023 chlamydia rate was 436.4 per 100,000 people, lower than the U.S. average of 492.2. The rate has decreased by 5% since 2020, reflecting statewide prevention efforts.
Editorial standards
Reviewed by EasySTD Editorial Team · Updated
How we rank, source & review
Full transparency on how this North Dakota testing guide is built and kept accurate.
How we rank clinics
Vetted partner labs (clearly marked Sponsored) are pinned first; every other center is listed free of charge and ordered by proximity, then verified review score. We never hide or down-rank a free public clinic.
How we source data
Clinic details come from official provider directories; STI rates, demographics, and community-health figures from the CDC, U.S. Census Bureau, and County Health Rankings — each cited in Sources.
Affiliate disclosure
EasySTD may earn a commission when you book through a partner lab. That never changes which free or public options we show, or the order we show them in.