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Prader-Willi/Angelman Genetic Test

Kentucky 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?

$40.74

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $51.29 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$40.74$40.74 to $42.66
FacilityA hospital or hospital-owned outpatient department$51.29$41.69 to $75.86

How much rates vary

Facilitymedian $51 · 10th to 90th $42 to $123Professionalmedian $41 · 10th to 90th $31 to $62
$20.0$50.0$100.0$200.0facility $51professional $41

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
$41.69
Median
$41.69
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$41.69
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$40.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$100.00
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$51.29

Where Kentucky 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.

Kentucky $40.74 · 49th 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.