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Prader-Willi/Angelman Genetic Test

Washington, DC 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?

$38.02

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $61.66 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$38.02$38.02 to $39.81
FacilityA hospital or hospital-owned outpatient department$61.66$38.02 to $309

How much rates vary

Facilitymedian $62 · 10th to 90th $38 to $309Professionalmedian $38 · 10th to 90th $37 to $81
$0.1$1.0$10.0$100.0facility $62professional $38

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
$38.02
Median
$38.02
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$95.50
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$64.57
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.91
Typical High
$47.86

Where Washington, DC 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.

Washington, DC $38.02 · 50th 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.