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Prader-Willi/Angelman Genetic Test

Arizona rates for HCPCS 81331

This service is a genetic laboratory test that looks at a specific pattern of gene activity to help diagnose Prader-Willi syndrome or Angelman syndrome, two different inherited conditions that affect development. It is typically ordered when a child shows developmental delay, low muscle tone, feeding difficulties, or other features suggestive of one of these conditions. The test is run on a blood sample.

Rates data updated October 2026.

How much does Prader-Willi/Angelman Genetic Test cost?

$47.86

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $112 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$21.38 to $52.48
FacilityA hospital or hospital-owned outpatient department$112$57.54 to $166

How much rates vary

Facilitymedian $112 · 10th to 90th $35 to $224Professionalmedian $34 · 10th to 90th $21 to $263
$20$50$100$200facility $112professional $34

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$165.96
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$16.98
Typical High
$20.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.92
Median
$6.92
Typical High
$8.32
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$147.91
Typical High
$223.87
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$50.12
Typical High
$87.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$100.00
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$50.12
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$40.74
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$30.90

Where Arizona sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Arizona· 35th of 51

$47.86

AK $115NE $33.88

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.