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CSTB Gene Test

New York 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?

$275

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $437 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 9 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$224$151 to $331
FacilityA hospital or hospital-owned outpatient department$437$275 to $631

How much rates vary

Facilitymedian $437 · 10th to 90th $191 to $759Professionalmedian $224 · 10th to 90th $110 to $525
$100$200$500$1Kfacility $437professional $224

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
$223.87
Median
$467.74
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$549.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$275.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$588.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$1,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$524.81
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$323.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$354.81
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$602.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$302.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$489.78

Where New York 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.

New York· 19th of 51

$275

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.