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Prader-Willi/Angelman Genetic Test

Montana 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?

$69.18

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $79.43 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$64.57$58.88 to $79.43
FacilityA hospital or hospital-owned outpatient department$79.43$64.57 to $155

How much rates vary

Facilitymedian $79 · 10th to 90th $65 to $316Professionalmedian $65 · 10th to 90th $46 to $339
$100.0$1.0K$10.0K$100.0Kfacility $79professional $65

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
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$316.23
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$158.49
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$158.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$51.29

Where Montana 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.

Montana $69.18 · 6th 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.