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Dystrophin Gene Deletion And Duplication Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $550 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 8 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$282$282 to $468
FacilityA hospital or hospital-owned outpatient department$550$407 to $794

How much rates vary

Facilitymedian $550 · 10th to 90th $282 to $891Professionalmedian $282 · 10th to 90th $148 to $832
$20$100$500$2Kfacility $550professional $282

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
$275.42
Median
$645.65
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$831.76
Typical High
$831.76
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$776.25
Typical High
$1,318.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$181.97
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$776.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$478.63
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$467.74
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$776.25
Typical High
$1,318.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$537.03

Where Massachusetts 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.

Massachusetts· 27th 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.