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Prader-Willi/Angelman Genetic Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $83.18 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$51.29$41.69 to $51.29
FacilityA hospital or hospital-owned outpatient department$83.18$51.29 to $170

How much rates vary

Facilitymedian $83 · 10th to 90th $51 to $182Professionalmedian $51 · 10th to 90th $31 to $62
$20.0$50.0$100.0$200.0facility $83professional $51

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
$51.29
Median
$51.29
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$169.82
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$51.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$61.66
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$79.43

Where Maine 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.

Maine $51.29 · 35th 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.