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Prader-Willi/Angelman Genetic Test

Tennessee 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?

$50.12

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $30.90 to $115.

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.

How much rates vary

Facilitymedian $105 · 10th to 90th $38 to $158Professionalmedian $46 · 10th to 90th $23 to $380
$20$50$100$200facility $105professional $46

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
$38.02
Median
$40.74
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$40.74
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.05
Median
$19.95
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.59
Median
$8.13
Typical High
$11.75
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$50.12
Typical High
$51.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$104.71
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$28.18
Typical High
$69.18
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$51.29

Where Tennessee 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.

Tennessee· 31st of 51

$50.12

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.