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Prader-Willi/Angelman Genetic Test

New Mexico 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?

$56.23

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $240 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$22.91$21.38 to $61.66
FacilityA hospital or hospital-owned outpatient department$240$120 to $347

How much rates vary

Facilitymedian $240 · 10th to 90th $46 to $427Professionalmedian $23 · 10th to 90th $21 to $74
$20$50$100$200$500facility $240professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$61.66
Typical High
$61.66
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$275.42
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$45.71
Typical High
$114.82
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Providence
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$74.13
United
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$30.90

Where New Mexico 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 Mexico· 19th of 51

$56.23

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.