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Dystrophin Gene Deletion And Duplication Test

Kansas 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?

$288

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $324 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$269$209 to $288
FacilityA hospital or hospital-owned outpatient department$324$295 to $603

How much rates vary

Facilitymedian $324 · 10th to 90th $245 to $661Professionalmedian $269 · 10th to 90th $148 to $295
$100$200$500$1Kfacility $324professional $269

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
$295.12
Median
$478.63
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$309.03
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$269.15
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$281.84
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$251.19

Where Kansas 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.

Kansas· 20th of 51

$288

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.