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Dystrophin Gene Deletion And Duplication Test

Michigan 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 October 2026.

How much does Dystrophin Gene Deletion And Duplication Test cost?

$209

Typical negotiated rate. In Michigan, October 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 $263 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$141 to $263
FacilityA hospital or hospital-owned outpatient department$263$263 to $355

How much rates vary

Facilitymedian $263 · 10th to 90th $209 to $490Professionalmedian $209 · 10th to 90th $93 to $282
$10$20$50$100$200$500facility $263professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$416.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$208.93
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$269.15
Typical High
$281.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$138.04
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$54.95
Typical High
$56.23
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$309.03
Typical High
$537.03
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$208.93
Typical High
$208.93
CareSource
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$309.03
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$281.84
Typical High
$1,202.26
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$416.87
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$208.93
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$83.18
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$173.78
Typical High
$295.12
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Priority Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$323.59
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$251.19
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$89.13
Typical High
$165.96

Where Michigan sits

The same service costs 4.8 times more in Alaska than in North Carolina. 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.

Michigan· 38th of 51

$209

AK $631NC $132

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.