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Dystrophin Gene Deletion And Duplication Test

Iowa 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?

$269

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $427 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 8 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$245$214 to $490
FacilityA hospital or hospital-owned outpatient department$427$282 to $741

How much rates vary

Facilitymedian $427 · 10th to 90th $214 to $813Professionalmedian $245 · 10th to 90th $166 to $1,862
$100$200$500$1Kfacility $427professional $245

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
$213.80
Median
$575.44
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$281.84
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$371.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where Iowa 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.

Iowa· 31st of 51

$269

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.