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CYP2C19 Drug Metabolism Gene Test

Arkansas rates for HCPCS 81225

A blood or cheek-swab test that examines common variations in the CYP2C19 gene, which controls one of the liver enzymes that break medicines down. The result predicts whether a person clears certain drugs quickly, normally, or slowly, so a prescriber can pick a suitable medicine or adjust the dose. Clopidogrel, several antidepressants, and some acid-reducing medicines depend on this enzyme.

Rates data updated July 2026.

How much does CYP2C19 Drug Metabolism Gene Test cost?

$251

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $363 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 7 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$245$178 to $282
FacilityA hospital or hospital-owned outpatient department$363$331 to $372

How much rates vary

Facilitymedian $363 · 10th to 90th $295 to $468Professionalmedian $245 · 10th to 90th $135 to $363
$200.0$500.0$1.0Kfacility $363professional $245

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
$295.12
Median
$363.08
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$407.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$467.74
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$295.12

Where Arkansas sits

The same service costs 3.8 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arkansas $251 · 32nd of 51
AK $661VT $174

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.