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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 October 2026.

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

$33.88

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $251 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$30.90$30.90 to $97.72
FacilityA hospital or hospital-owned outpatient department$251$77.62 to $324

How much rates vary

Facilitymedian $251 · 10th to 90th $31 to $468Professionalmedian $31 · 10th to 90th $29 to $263
$20$50$100$200$500facility $251professional $31

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
$33.88
Median
$120.23
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$120.23
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$309.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$97.72
Typical High
$123.03
Medica
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$64.57
Typical High
$239.88
Medica
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$263.03
Midlands
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.38
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.90
Typical High
$151.36

Where Nebraska 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.

Nebraska· 51st of 51

$33.88

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.