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CACNA1A Gene Test

Iowa 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?

$186

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $282 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$162$141 to $355
FacilityA hospital or hospital-owned outpatient department$282$186 to $490

How much rates vary

Facilitymedian $282 · 10th to 90th $141 to $537Professionalmedian $162 · 10th to 90th $112 to $1,230
$100$200$500$1Kfacility $282professional $162

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
$141.25
Median
$380.19
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$338.84
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$245.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21

Where Iowa 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.

Iowa· 17th of 51

$186

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.