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Dystrophin Gene Deletion And Duplication Test

Missouri 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?

$269

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $363 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$240$115 to $324
FacilityA hospital or hospital-owned outpatient department$363$282 to $490

How much rates vary

Facilitymedian $363 · 10th to 90th $240 to $646Professionalmedian $240 · 10th to 90th $81 to $490
$5$20$100$500facility $363professional $240

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
$269.15
Median
$467.74
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$549.54
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
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
$141.25
Typical High
$380.19

Where Missouri 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.

Missouri· 29th of 51

$269

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.