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CACNA1A Gene Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $195 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$138$83.18 to $158
FacilityA hospital or hospital-owned outpatient department$195$186 to $407

How much rates vary

Facilitymedian $195 · 10th to 90th $158 to $832Professionalmedian $138 · 10th to 90th $74 to $302
$100$200$500$1K$2K$5K$10Kfacility $195professional $138

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
$138.04
Median
$389.05
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$457.09
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$389.05
Sentara
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$213.80

Where Virginia 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.

Virginia· 35th 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.