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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 July 2026.

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

$48.98

Typical negotiated rate. In Michigan, July 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. 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$48.98$38.02 to $58.88
FacilityA hospital or hospital-owned outpatient department$48.98$48.98 to $75.86

How much rates vary

Facilitymedian $49 · 10th to 90th $46 to $89Professionalmedian $49 · 10th to 90th $36 to $60
$10.0$20.0$50.0$100.0$200.0$500.0facility $49professional $49

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
$48.98
Median
$48.98
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$51.29
Typical High
$77.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$147.91
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$83.18
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$51.29

Where Michigan 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.

Michigan $48.98 · 36th 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.