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CACNA1A Gene Test

Missouri 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 Missouri, 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 $240 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$162$112 to $219
FacilityA hospital or hospital-owned outpatient department$240$186 to $324

How much rates vary

Facilitymedian $240 · 10th to 90th $178 to $427Professionalmedian $162 · 10th to 90th $74 to $363
$100$200$500$1Kfacility $240professional $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
$177.83
Median
$309.03
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$251.19

Where Missouri 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.

Missouri· 20th 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.