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CACNA1A Gene Test

West 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?

$151

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $229 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 4 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$138 to $158
FacilityA hospital or hospital-owned outpatient department$229$151 to $275

How much rates vary

Facilitymedian $229 · 10th to 90th $151 to $275Professionalmedian $148 · 10th to 90th $123 to $158
$100$200$500$1Kfacility $229professional $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
$151.36
Median
$229.09
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$204.17

Where West 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.

West Virginia· 39th of 51

$151

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.