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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 July 2026.

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

$58.88

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $162 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$58.88$40.74 to $58.88
FacilityA hospital or hospital-owned outpatient department$162$67.61 to $363

How much rates vary

Facilitymedian $162 · 10th to 90th $59 to $9,333Professionalmedian $59 · 10th to 90th $34 to $59
$100.0$1.0K$10.0K$100.0Kfacility $162professional $59

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
$66.07
Median
$186.21
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$112.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$53.70
Typical High
$83.18
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$53.70

Where New Jersey 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.

New Jersey $58.88 · 11th 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.