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Dystrophin Gene Deletion And Duplication Test

Arkansas 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 Arkansas, 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 $355 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 5 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$186 to $355
FacilityA hospital or hospital-owned outpatient department$355$316 to $355

How much rates vary

Facilitymedian $355 · 10th to 90th $224 to $437Professionalmedian $245 · 10th to 90th $85 to $832
$100$200$500facility $355professional $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
$223.87
Median
$354.81
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$245.47
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$218.78
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$177.83

Where Arkansas 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.

Arkansas· 30th 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.