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Dystrophin Gene Deletion And Duplication Test

Utah 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?

$324

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $562 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$245$195 to $832
FacilityA hospital or hospital-owned outpatient department$562$324 to $832

How much rates vary

Facilitymedian $562 · 10th to 90th $288 to $832Professionalmedian $245 · 10th to 90th $110 to $832
$100$200$500$1Kfacility $562professional $245

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
$562.34
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$288.40
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,122.02
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$165.96

Where Utah 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.

Utah· 14th of 51

$324

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.