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Prader-Willi/Angelman Genetic Test

New Jersey 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?

$35.48

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $380 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$30.90 to $58.88
FacilityA hospital or hospital-owned outpatient department$380$105 to $15,488

How much rates vary

Facilitymedian $380 · 10th to 90th $59 to $21,878Professionalmedian $35 · 10th to 90th $25 to $59
$100$1K$10Kfacility $380professional $35

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$141.25
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$54.95
Typical High
$75.86
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$67.61
Typical High
$74.13
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$30.90
Typical High
$51.29

Where New Jersey 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.

New Jersey· 49th of 51

$35.48

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.