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CSTB Gene Test

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $295 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$204$123 to $234
FacilityA hospital or hospital-owned outpatient department$295$275 to $603

How much rates vary

Facilitymedian $295 · 10th to 90th $234 to $1,259Professionalmedian $204 · 10th to 90th $110 to $447
$100$200$500$1K$2K$5K$10Kfacility $295professional $204

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
$204.17
Median
$575.44
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$676.08
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$575.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$316.23

Where Virginia 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.

Virginia· 31st of 51

$240

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.