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Prader-Willi/Angelman Genetic Test

Georgia 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?

$45.71

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $58.88 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$39.81$30.90 to $48.98
FacilityA hospital or hospital-owned outpatient department$58.88$42.66 to $69.18

How much rates vary

Facilitymedian $59 · 10th to 90th $34 to $93Professionalmedian $40 · 10th to 90th $20 to $85
$100.0$1.0K$10.0K$100.0Kfacility $59professional $40

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
$33.88
Median
$46.77
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.42
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$52.48
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$66.07

Where Georgia 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.

Georgia $45.71 · 40th 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.