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CACNA1A Gene Test

North Dakota 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?

$282

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $174 to $372.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $129 to $331Professionalmedian $309 · 10th to 90th $129 to $427
$100$200$500facility $129professional $309

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
$128.82
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$218.78
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$281.84

Where North Dakota 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.

North Dakota· 3rd of 51

$282

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.