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Dystrophin Gene Deletion And Duplication Test

Rhode Island 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?

$355

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $832 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 4 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$832$209 to $832
FacilityA hospital or hospital-owned outpatient department$309$209 to $331

How much rates vary

Facilitymedian $309 · 10th to 90th $141 to $1,622Professionalmedian $832 · 10th to 90th $158 to $832
$100$200$500$1Kfacility $309professional $832

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$831.76
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$323.59
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$380.19
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$281.84

Where Rhode Island 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.

Rhode Island· 6th of 51

$355

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.