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Prader-Willi/Angelman Genetic Test

New Hampshire 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?

$51.29

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $129 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 5 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$51.29$39.81 to $58.88
FacilityA hospital or hospital-owned outpatient department$129$95.50 to $209

How much rates vary

Facilitymedian $129 · 10th to 90th $71 to $295Professionalmedian $51 · 10th to 90th $33 to $95
$20$50$100$200facility $129professional $51

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
$70.79
Median
$128.82
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$213.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$114.82

Where New Hampshire sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

New Hampshire· 33rd of 51

$51.29

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.