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CACNA1A Gene Test

New Hampshire 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 New Hampshire, 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 $468 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 5 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$129 to $186
FacilityA hospital or hospital-owned outpatient department$468$339 to $759

How much rates vary

Facilitymedian $468 · 10th to 90th $257 to $1,072Professionalmedian $186 · 10th to 90th $120 to $347
$100$200$500$1Kfacility $468professional $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
$257.04
Median
$467.74
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$537.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$512.86

Where New Hampshire 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.

New Hampshire· 23rd 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.