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Dystrophin Gene Deletion And Duplication Test

Florida 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?

$219

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $380 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$200$141 to $257
FacilityA hospital or hospital-owned outpatient department$380$251 to $759

How much rates vary

Facilitymedian $380 · 10th to 90th $200 to $1,122Professionalmedian $200 · 10th to 90th $85 to $832
$10$20$50$100$200$500$1Kfacility $380professional $200

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
$208.93
Median
$371.54
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$831.76
AvMed
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$331.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$97.72
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$501.19
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$281.84

Where Florida 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.

Florida· 49th of 51

$219

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.