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CSTB Gene Test

Alabama rates for HCPCS 81189

Looks for changes in the CSTB gene in a blood or saliva sample. Changes in this gene cause a rare inherited disorder that begins in childhood or the teenage years and brings muscle jerks, seizures, and worsening balance. Testing is used to confirm a suspected diagnosis or to check relatives.

Rates data updated July 2026.

How much does CSTB Gene Test cost?

$234

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $245 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$214$166 to $316
FacilityA hospital or hospital-owned outpatient department$245$191 to $316

How much rates vary

Facilitymedian $245 · 10th to 90th $166 to $417Professionalmedian $214 · 10th to 90th $166 to $316
$200$500facility $245professional $214

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
$275.42
Median
$316.23
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$186.21
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$275.42

Where Alabama sits

The same service costs 3.3 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.

Alabama· 34th of 51

$234

AK $617DE $186

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.