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CYP2C19 Drug Metabolism Gene Test

New Mexico 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?

$347

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $955 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$240$219 to $347
FacilityA hospital or hospital-owned outpatient department$955$501 to $2,138

How much rates vary

Facilitymedian $955 · 10th to 90th $263 to $2,951Professionalmedian $240 · 10th to 90th $123 to $1,905
$100.0$500.0$2.0K$10.0K$50.0Kfacility $955professional $240

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
$436.52
Median
$870.96
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$1,905.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,862.09
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$338.84
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$234.42

Where New Mexico 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.

New Mexico $347 · 9th 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.