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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 July 2026.

How much does Dystrophin Gene Deletion And Duplication Test cost?

$263

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $263 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$224$186 to $263
FacilityA hospital or hospital-owned outpatient department$263$263 to $331

How much rates vary

Facilitymedian $263 · 10th to 90th $251 to $490Professionalmedian $224 · 10th to 90th $76 to $309
$100$200$500facility $263professional $224

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
$263.03
Median
$263.03
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$263.03
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$275.42
Typical High
$630.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$489.78
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$331.13
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$323.59
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$165.96

Where Michigan 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.

Michigan· 34th of 51

$263

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.