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CACNA1A Gene Test

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $151 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 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$151$120 to $174
FacilityA hospital or hospital-owned outpatient department$355$224 to $513

How much rates vary

Facilitymedian $355 · 10th to 90th $158 to $692Professionalmedian $151 · 10th to 90th $100 to $407
$100$200$500$1Kfacility $355professional $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
$158.49
Median
$354.81
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$660.69
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$323.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$239.88
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$346.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$354.81
Typical High
$660.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$660.69
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$457.09
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$190.55
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$275.42

Where Pennsylvania 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.

Pennsylvania· 37th 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.