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CYP2C19 Drug Metabolism Gene Test

New Hampshire 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?

$288

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $191 to $562.

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.

How much rates vary

Facilitymedian $955 · 10th to 90th $501 to $1,514Professionalmedian $191 · 10th to 90th $141 to $724
$200$500$1K$2Kfacility $955professional $191

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
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$933.25
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,096.48
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$309.03
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$288.40
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$173.78
Typical High
$371.54

Where New Hampshire 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.

New Hampshire· 21st of 51

$288

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.