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CYP2C19 Drug Metabolism Gene Test

Arizona 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?

$234

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $479 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 5 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$195$158 to $234
FacilityA hospital or hospital-owned outpatient department$479$372 to $1,096

How much rates vary

Facilitymedian $479 · 10th to 90th $224 to $1,259Professionalmedian $195 · 10th to 90th $123 to $380
$1.0$10.0$100.0$1.0Kfacility $479professional $195

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
$416.87
Median
$467.74
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$831.76
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$288.40

Where Arizona 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.

Arizona $234 · 41st 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.