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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 October 2026.

How much does CYP2C19 Drug Metabolism Gene Test cost?

$263

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,622 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$123 to $324
FacilityA hospital or hospital-owned outpatient department$1,622$832 to $2,138

How much rates vary

Facilitymedian $1,622 · 10th to 90th $263 to $2,818Professionalmedian $178 · 10th to 90th $123 to $407
$200$500$1K$2Kfacility $1,622professional $178

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
$218.78
Median
$933.25
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$346.74
Typical High
$346.74
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,819.70
Typical High
$2,884.03
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$239.88
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$263.03
Typical High
$660.69
Molina
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Providence
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Providence
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$389.05
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$173.78

Where New Mexico 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 Mexico· 32nd of 51

$263

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.