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Dystrophin Gene Deletion And Duplication Test

Hawaii rates for HCPCS 81161

A laboratory test on a blood sample that checks the dystrophin gene for missing or duplicated sections. Changes of this kind are the usual cause of Duchenne and Becker muscular dystrophy, muscle-weakening conditions that mainly affect boys.

Rates data updated July 2026.

How much does Dystrophin Gene Deletion And Duplication Test cost?

$331

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $282 to $355.

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.

How much rates vary

Facilitymedian $275 · 10th to 90th $229 to $331Professionalmedian $347 · 10th to 90th $251 to $490
$200$500facility $275professional $347

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
$229.09
Median
$275.42
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$331.13
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$501.19

Where Hawaii sits

The same service costs 4.0 times more in Vermont than in Washington, DC. 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.

Hawaii· 13th of 51

$331

VT $832DC $209

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.