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Prader-Willi/Angelman Genetic Test

Michigan 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 October 2026.

How much does Prader-Willi/Angelman Genetic Test cost?

$48.98

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $48.98 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$38.02 to $58.88
FacilityA hospital or hospital-owned outpatient department$48.98$47.86 to $66.07

How much rates vary

Facilitymedian $49 · 10th to 90th $38 to $98Professionalmedian $49 · 10th to 90th $31 to $76
$10$20$50$100$200$500facility $49professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$75.86
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$38.02
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$50.12
Typical High
$60.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$25.12
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$10.00
Typical High
$11.75
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$95.50
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$51.29
Typical High
$77.62
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$169.82
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$38.02
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$15.14
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$58.88
Typical High
$89.13
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Priority Health
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$56.23
Typical High
$69.18
United
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$45.71
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$51.29

Where Michigan sits

The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 32nd of 51

$48.98

AK $115NE $33.88

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.