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Prader-Willi/Angelman Genetic Test

Iowa 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?

$51.29

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $79.43 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$44.67$38.90 to $97.72
FacilityA hospital or hospital-owned outpatient department$79.43$51.29 to $132

How much rates vary

Facilitymedian $79 · 10th to 90th $39 to $148Professionalmedian $45 · 10th to 90th $31 to $339
$10.0$20.0$50.0$100.0$200.0$500.0facility $79professional $45

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
$38.90
Median
$104.71
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$52.48
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$67.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Iowa 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.

Iowa $51.29 · 31st 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.