go back

CACNA1A Gene Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $257 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$186$151 to $186
FacilityA hospital or hospital-owned outpatient department$257$186 to $427

How much rates vary

Facilitymedian $257 · 10th to 90th $138 to $550Professionalmedian $186 · 10th to 90th $112 to $457
$100$200$500$1K$2Kfacility $257professional $186

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
$128.82
Median
$323.59
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$549.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$389.05
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$1,071.52
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$338.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$416.87

Where Massachusetts 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.

Massachusetts· 19th 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.