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CACNA1A Gene Test

New Jersey 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?

$158

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $309 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$148$112 to $158
FacilityA hospital or hospital-owned outpatient department$309$240 to $871

How much rates vary

Facilitymedian $309 · 10th to 90th $186 to $1,862Professionalmedian $148 · 10th to 90th $98 to $229
$100$500$2K$10Kfacility $309professional $148

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
$234.42
Median
$245.47
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$354.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$194.98

Where New Jersey 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 Jersey· 36th of 51

$158

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.