go back

CYP2C19 Drug Metabolism Gene Test

Louisiana 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 October 2026.

How much does CYP2C19 Drug Metabolism Gene Test cost?

$316

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $380 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$129 to $324
FacilityA hospital or hospital-owned outpatient department$380$288 to $646

How much rates vary

Facilitymedian $380 · 10th to 90th $288 to $912Professionalmedian $295 · 10th to 90th $123 to $380
$10$20$50$100$200$500$1Kfacility $380professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$398.11
Typical High
$1,479.11
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$199.53
Typical High
$741.31
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$79.43
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$323.59
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$173.78
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$69.18
Typical High
$75.86
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$575.44
Typical High
$933.25
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$323.59
Christus
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$724.44
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$263.03
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$128.82
Typical High
$398.11

Where Louisiana sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Louisiana· 15th of 51

$316

AK $661AL $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.