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Dystrophin Gene Deletion And Duplication Test

Tennessee 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?

$224

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $427 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$219$209 to $282
FacilityA hospital or hospital-owned outpatient department$427$251 to $933

How much rates vary

Facilitymedian $427 · 10th to 90th $209 to $1,202Professionalmedian $219 · 10th to 90th $129 to $331
$5$20$100$500$2Kfacility $427professional $219

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
$208.93
Median
$446.68
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$575.44
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$380.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$251.19

Where Tennessee 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.

Tennessee· 42nd of 51

$224

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.