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Dystrophin Gene Deletion And Duplication Test

Colorado 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?

$295

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $676 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 7 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$214$117 to $224
FacilityA hospital or hospital-owned outpatient department$676$372 to $1,175

How much rates vary

Facilitymedian $676 · 10th to 90th $214 to $1,413Professionalmedian $214 · 10th to 90th $85 to $295
$100$200$500$1K$2Kfacility $676professional $214

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
$177.83
Median
$616.60
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$213.80
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$831.76
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$407.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$398.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$165.96

Where Colorado 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.

Colorado· 18th of 51

$295

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.