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Prader-Willi/Angelman Genetic Test

Virginia 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?

$43.65

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $53.70 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 8 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$38.02$22.91 to $43.65
FacilityA hospital or hospital-owned outpatient department$53.70$51.29 to $112

How much rates vary

Facilitymedian $54 · 10th to 90th $44 to $245Professionalmedian $38 · 10th to 90th $20 to $95
$10.0$100.0$1.0K$10.0Kfacility $54professional $38

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
$38.02
Median
$107.15
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$43.65
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$34.67
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$138.04
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$125.89
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$70.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$107.15
Typical High
$112.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$58.88

Where Virginia 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.

Virginia $43.65 · 43rd 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.