go back

Dystrophin Gene Deletion And Duplication Test

Georgia 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?

$240

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $316 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$195$129 to $257
FacilityA hospital or hospital-owned outpatient department$316$224 to $372

How much rates vary

Facilitymedian $316 · 10th to 90th $186 to $513Professionalmedian $195 · 10th to 90th $110 to $417
$100$200$500$1Kfacility $316professional $195

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
$186.21
Median
$251.19
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$316.23
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$416.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$457.09
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$616.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$251.19
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$338.84

Where Georgia 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.

Georgia· 38th of 51

$240

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.