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CSTB Gene Test

Hawaii 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?

$347

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $275 to $389.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $229 to $331Professionalmedian $355 · 10th to 90th $275 to $427
$200$500facility $269professional $355

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
$229.09
Median
$269.15
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$331.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$331.13
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$616.60

Where Hawaii 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.

Hawaii· 6th of 51

$347

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.