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Dystrophin Gene Deletion And Duplication Test

Connecticut 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?

$282

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $437 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$93.33 to $309
FacilityA hospital or hospital-owned outpatient department$437$282 to $617

How much rates vary

Facilitymedian $437 · 10th to 90th $282 to $776Professionalmedian $209 · 10th to 90th $76 to $832
$100$200$500$1Kfacility $437professional $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
$281.84
Median
$398.11
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$186.21
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$251.19
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$331.13
Typical High
$575.44
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$416.87

Where Connecticut 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.

Connecticut· 25th of 51

$282

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.