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CACNA1A Gene Test

Alabama 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?

$182

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $204 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 4 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$145$112 to $214
FacilityA hospital or hospital-owned outpatient department$204$178 to $214

How much rates vary

Facilitymedian $204 · 10th to 90th $162 to $275Professionalmedian $145 · 10th to 90th $112 to $214
$100$200facility $204professional $145

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
$186.21
Median
$213.80
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$186.21

Where Alabama 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.

Alabama· 26th of 51

$182

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.