go back

Dystrophin Gene Deletion And Duplication Test

Idaho 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?

$282

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $363 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$282$263 to $324
FacilityA hospital or hospital-owned outpatient department$363$282 to $562

How much rates vary

Facilitymedian $363 · 10th to 90th $18 to $794Professionalmedian $282 · 10th to 90th $195 to $550
$20$50$100$200$500$1Kfacility $363professional $282

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
$18.20
Median
$18.20
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$575.44
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$239.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$169.82

Where Idaho 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.

Idaho· 23rd of 51

$282

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.