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CACNA1A Gene Test

Hawaii 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?

$234

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $186 to $263.

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.

How much rates vary

Facilitymedian $182 · 10th to 90th $151 to $224Professionalmedian $240 · 10th to 90th $186 to $288
$100$200facility $182professional $240

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
$151.36
Median
$181.97
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$223.87
HMSA
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$223.87
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$416.87

Where Hawaii 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.

Hawaii· 6th of 51

$234

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.