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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 July 2026.

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

$61.66

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $166 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$56.23$38.02 to $61.66
FacilityA hospital or hospital-owned outpatient department$166$75.86 to $347

How much rates vary

Facilitymedian $166 · 10th to 90th $46 to $427Professionalmedian $56 · 10th to 90th $21 to $339
$100.0$1.0K$10.0K$100.0Kfacility $166professional $56

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
$75.86
Median
$154.88
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$275.42
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$112.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$45.71
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$40.74

Where New Mexico 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 Mexico $61.66 · 10th 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.