go back

Prader-Willi/Angelman Genetic Test

Colorado 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 July 2026.

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

$58.88

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $126 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 7 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$38.90$32.36 to $47.86
FacilityA hospital or hospital-owned outpatient department$126$67.61 to $214

How much rates vary

Facilitymedian $126 · 10th to 90th $39 to $257Professionalmedian $39 · 10th to 90th $21 to $59
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $126professional $39

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
$32.36
Median
$112.20
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$151.36
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$74.13
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$660.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$30.90

Where Colorado sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $58.88 · 23rd of 51
AK $115MD $38.02

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.