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Prader-Willi/Angelman Genetic Test

Oregon 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 Oregon, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $83.18 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53.70$43.65 to $61.66
FacilityA hospital or hospital-owned outpatient department$83.18$53.70 to $126

How much rates vary

Facilitymedian $83 · 10th to 90th $51 to $195Professionalmedian $54 · 10th to 90th $21 to $83
$20$50$100$200facility $83professional $54

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
$125.89
Median
$125.89
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$58.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$141.25
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$57.54
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$125.89
Typical High
$131.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$51.29
Typical High
$69.18
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$57.54
Typical High
$102.33
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Providence
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$83.18
Typical High
$263.03
Providence
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$57.54
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$173.78
Typical High
$218.78
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$43.65
Typical High
$61.66
United
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$75.86
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$61.66

Where Oregon 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.

Oregon· 18th 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.