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Prader-Willi/Angelman Genetic Test

Idaho 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?

$52.48

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $75.86 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$52.48$47.86 to $61.66
FacilityA hospital or hospital-owned outpatient department$75.86$51.29 to $110

How much rates vary

Facilitymedian $76 · 10th to 90th $51 to $158Professionalmedian $52 · 10th to 90th $35 to $100
$20.0$50.0$100.0$200.0facility $76professional $52

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
$91.20
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$91.20
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$107.15
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$85.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$75.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$181.97
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$53.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$51.29

Where Idaho 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.

Idaho $52.48 · 27th 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.