go back

Prader-Willi/Angelman Genetic Test

West 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?

$41.69

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $64.57 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 5 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$40.74$38.02 to $43.65
FacilityA hospital or hospital-owned outpatient department$64.57$41.69 to $75.86

How much rates vary

Facilitymedian $65 · 10th to 90th $42 to $100Professionalmedian $41 · 10th to 90th $34 to $44
$20.0$50.0$100.0$200.0facility $65professional $41

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
$41.69
Median
$64.57
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$245.47
Typical High
$245.47
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$56.23

Where West 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.

West Virginia $41.69 · 46th 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.