go back

Dystrophin Gene Deletion And Duplication Test

Washington, DC 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?

$209

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $209 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$204 to $219
FacilityA hospital or hospital-owned outpatient department$209$209 to $331

How much rates vary

Facilitymedian $209 · 10th to 90th $209 to $468Professionalmedian $209 · 10th to 90th $200 to $295
$100$200$500$1Kfacility $209professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$218.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$354.81
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$234.42

Where Washington, DC 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.

Washington, DC· 51st of 51

$209

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.