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CSTB Gene Test

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $525 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$224$182 to $257
FacilityA hospital or hospital-owned outpatient department$525$331 to $759

How much rates vary

Facilitymedian $525 · 10th to 90th $234 to $1,023Professionalmedian $224 · 10th to 90th $151 to $603
$200$500$1Kfacility $525professional $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
$234.42
Median
$524.81
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$977.24
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$363.08
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$524.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$524.81
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$977.24
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$676.08
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$416.87

Where Pennsylvania 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.

Pennsylvania· 37th 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.