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Prader-Willi/Angelman Genetic Test

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $38.02 for this service. Most negotiated rates run $37.15 to $43.65.

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.

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $39Professionalmedian $38 · 10th to 90th $23 to $59
$1.0$5.0$20.0$100.0facility $21professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$58.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.91
Typical High
$44.67
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$40.74

Where Maryland 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.

Maryland $38.02 · 51st 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.