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Prader-Willi/Angelman Genetic Test

North Dakota 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?

$66.07

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $51.29 to $87.10.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $60Professionalmedian $74 · 10th to 90th $26 to $102
$20$50$100facility $35professional $74

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$58.88
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$87.10
Typical High
$102.33
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$70.79
Median
$104.71
Typical High
$123.03
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$17.38
Typical High
$20.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$74.13
Typical High
$91.20
Medica
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$107.15
Medica
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$61.66
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$57.54
Typical High
$74.13

Where North Dakota 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.

North Dakota· 7th of 51

$66.07

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.