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Dystrophin Gene Deletion And Duplication Test

South Dakota 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?

$417

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $537 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 6 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$324$219 to $646
FacilityA hospital or hospital-owned outpatient department$537$537 to $537

How much rates vary

Facilitymedian $537 · 10th to 90th $316 to $537Professionalmedian $324 · 10th to 90th $186 to $676
$100$200$500$1K$2Kfacility $537professional $324

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
$194.98
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$1,380.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where South Dakota 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.

South Dakota· 4th of 51

$417

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.