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Dystrophin Gene Deletion And Duplication Test

New Mexico 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?

$331

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $891 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 5 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$229$209 to $331
FacilityA hospital or hospital-owned outpatient department$891$417 to $1,698

How much rates vary

Facilitymedian $891 · 10th to 90th $251 to $2,344Professionalmedian $229 · 10th to 90th $117 to $1,862
$100$1K$10Kfacility $891professional $229

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
$416.87
Median
$831.76
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,479.11
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$251.19
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$165.96

Where New Mexico 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.

New Mexico· 11th of 51

$331

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.