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Dystrophin Gene Deletion And Duplication Test

Arizona 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?

$224

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $209 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 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$209$186 to $240
FacilityA hospital or hospital-owned outpatient department$427$224 to $1,072

How much rates vary

Facilitymedian $427 · 10th to 90th $200 to $1,202Professionalmedian $209 · 10th to 90th $76 to $832
$5$20$100$500facility $427professional $209

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
$426.58
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$794.33
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$269.15
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$165.96

Where Arizona 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.

Arizona· 45th of 51

$224

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.