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Prader-Willi/Angelman Genetic Test

Utah 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?

$57.54

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $58.88 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$30.90 to $58.88
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $61.66

How much rates vary

Facilitymedian $59 · 10th to 90th $46 to $186Professionalmedian $46 · 10th to 90th $21 to $81
$20$50$100$200$500facility $59professional $46

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$93.33
Typical High
$123.03
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$38.02
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$54.95
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$61.66
Typical High
$93.33
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$91.20
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$58.88
Typical High
$239.88
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$56.23
Typical High
$75.86
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$30.90

Where Utah 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.

Utah· 16th of 51

$57.54

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.