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Dystrophin Gene Deletion And Duplication Test

Alabama 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?

$219

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $251 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 4 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$219$166 to $324
FacilityA hospital or hospital-owned outpatient department$251$186 to $324

How much rates vary

Facilitymedian $251 · 10th to 90th $162 to $417Professionalmedian $219 · 10th to 90th $85 to $324
$100$200$500facility $251professional $219

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
$281.84
Median
$323.59
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$218.78
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$234.42
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$251.19
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$165.96

Where Alabama 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.

Alabama· 48th of 51

$219

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.