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Dystrophin Gene Deletion And Duplication Test

Oregon 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?

$309

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $309 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 8 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$263 to $427
FacilityA hospital or hospital-owned outpatient department$309$282 to $537

How much rates vary

Facilitymedian $309 · 10th to 90th $282 to $776Professionalmedian $282 · 10th to 90th $224 to $794
$100$200$500$1Kfacility $309professional $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
$363.08
Median
$524.81
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$389.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$562.34
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$1,023.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$331.13

Where Oregon 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.

Oregon· 17th of 51

$309

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.