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Prader-Willi/Angelman Genetic Test

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $120 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$33.88$33.88 to $135
FacilityA hospital or hospital-owned outpatient department$120$36.31 to $224

How much rates vary

Facilitymedian $120 · 10th to 90th $31 to $295Professionalmedian $34 · 10th to 90th $31 to $339
$20.0$50.0$100.0$200.0$500.0facility $120professional $34

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
$36.31
Median
$134.90
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$77.62
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$48.98
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.90
Typical High
$141.25

Where Nebraska 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.

Nebraska $48.98 · 37th 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.