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Drug Metabolism Gene Panel Of Three Genes

New Mexico rates for HCPCS 0286U

Examines three genes — TPMT, NUDT15 and CEP72 — that influence how a person responds to certain medicines, so that treatment can be chosen or dosed accordingly. Only the common variants in these genes are looked at, and the analysis is not tied to any one named medicine.

Rates data updated July 2026.

How much does Drug Metabolism Gene Panel Of Three Genes cost?

$100

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $174 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$100$81.28 to $166
FacilityA hospital or hospital-owned outpatient department$174$120 to $263

How much rates vary

Facilitymedian $174 · 10th to 90th $89 to $398Professionalmedian $100 · 10th to 90th $56 to $166
$50.0$100.0$200.0$500.0facility $174professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$120.23
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$81.28

Where New Mexico sits

The same service costs 3.7 times more in Alaska than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $100 · 47th of 51
AK $302WY $81.28

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.