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CACNA1A Gene Test

Alaska rates for HCPCS 81186

Looks for changes in the CACNA1A gene in a blood or saliva sample. Changes in this gene are linked to inherited neurological conditions including episodes of unsteadiness and dizziness, a severe form of migraine that comes with temporary weakness on one side, and a slowly progressive loss of balance and coordination.

Rates data updated July 2026.

How much does CACNA1A Gene Test cost?

$417

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $646 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 6 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$417$186 to $603
FacilityA hospital or hospital-owned outpatient department$646$186 to $891

How much rates vary

Facilitymedian $646 · 10th to 90th $186 to $1,445Professionalmedian $417 · 10th to 90th $129 to $617
$100$200$500$1K$2Kfacility $646professional $417

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. 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
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$549.54
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$602.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$512.86
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$562.34

Where Alaska sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Alaska· 1st of 51

$417

AK $417DE $123

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.