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Dystrophin Gene Deletion And Duplication Test

Minnesota 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 Minnesota, 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 $724 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 6 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$269 to $324
FacilityA hospital or hospital-owned outpatient department$724$282 to $1,096

How much rates vary

Facilitymedian $724 · 10th to 90th $263 to $2,042Professionalmedian $282 · 10th to 90th $224 to $427
$200$500$1K$2Kfacility $724professional $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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$588.84
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$2,041.74
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$281.84
Typical High
$602.56

Where Minnesota 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.

Minnesota· 28th 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.