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Prader-Willi/Angelman Genetic Test

Rhode Island 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?

$51.29

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $61.66 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$30.90 to $58.88
FacilityA hospital or hospital-owned outpatient department$61.66$51.29 to $66.07

How much rates vary

Facilitymedian $62 · 10th to 90th $46 to $155Professionalmedian $38 · 10th to 90th $27 to $93
$20$50$100$200facility $62professional $38

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
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$58.88
Typical High
$66.07
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$38.02
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$154.88
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$85.11

Where Rhode Island 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.

Rhode Island· 23rd of 51

$51.29

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.