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CACNA1A Gene Test

Nebraska 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?

$178

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $355 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$123$123 to $490
FacilityA hospital or hospital-owned outpatient department$355$132 to $490

How much rates vary

Facilitymedian $355 · 10th to 90th $112 to $692Professionalmedian $123 · 10th to 90th $112 to $1,230
$100$200$500$1Kfacility $355professional $123

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
$131.83
Median
$489.78
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$512.86

Where Nebraska 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.

Nebraska· 29th of 51

$178

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.