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Dystrophin Gene Deletion And Duplication Test

Montana 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?

$363

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $380 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$347$282 to $550
FacilityA hospital or hospital-owned outpatient department$380$347 to $832

How much rates vary

Facilitymedian $380 · 10th to 90th $282 to $1,738Professionalmedian $347 · 10th to 90th $117 to $1,862
$100$1K$10K$100Kfacility $380professional $347

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
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,737.80
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$165.96

Where Montana 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.

Montana· 5th of 51

$363

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.