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CYP2C19 Drug Metabolism Gene Test

Idaho 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?

$295

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $437 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$295$275 to $339
FacilityA hospital or hospital-owned outpatient department$437$288 to $724

How much rates vary

Facilitymedian $437 · 10th to 90th $234 to $1,023Professionalmedian $295 · 10th to 90th $204 to $562
$100.0$200.0$500.0$1.0Kfacility $437professional $295

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
$524.81
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$436.52
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$602.56
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,047.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$380.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$295.12

Where Idaho 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.

Idaho $295 · 16th 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.