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CACNA1A Gene Test

New York 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 York, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $288 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 9 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$151$100 to $224
FacilityA hospital or hospital-owned outpatient department$288$186 to $427

How much rates vary

Facilitymedian $288 · 10th to 90th $129 to $513Professionalmedian $151 · 10th to 90th $74 to $355
$100$200$500$1Kfacility $288professional $151

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
$151.36
Median
$316.23
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$371.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$186.21
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$398.11
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$229.09
Typical High
$676.08
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$512.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$354.81
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$218.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$407.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$204.17
Univera
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$331.13

Where New York 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 York· 25th 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.