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Dystrophin Gene Deletion And Duplication Test

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $295 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$209$123 to $240
FacilityA hospital or hospital-owned outpatient department$295$282 to $617

How much rates vary

Facilitymedian $295 · 10th to 90th $240 to $1,259Professionalmedian $209 · 10th to 90th $112 to $525
$100$200$500$1K$2K$5K$10Kfacility $295professional $209

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
$239.88
Median
$616.60
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$467.74
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$588.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$229.09

Where Virginia 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.

Virginia· 37th of 51

$240

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.