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CACNA1A Gene Test

Oregon 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?

$195

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $204 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 8 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$174 to $269
FacilityA hospital or hospital-owned outpatient department$204$186 to $347

How much rates vary

Facilitymedian $204 · 10th to 90th $186 to $468Professionalmedian $186 · 10th to 90th $158 to $363
$100$200$500$1Kfacility $204professional $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
$239.88
Median
$346.74
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$371.54
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$275.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87

Where Oregon 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.

Oregon· 14th of 51

$195

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.