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CYP2C19 Drug Metabolism Gene Test

Nevada 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?

$275

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $457 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 6 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$229$162 to $339
FacilityA hospital or hospital-owned outpatient department$457$245 to $1,047

How much rates vary

Facilitymedian $457 · 10th to 90th $229 to $1,549Professionalmedian $229 · 10th to 90th $117 to $589
$5.0$20.0$100.0$500.0$2.0Kfacility $457professional $229

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
$229.09
Median
$562.34
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$245.47
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$346.74
Typical High
$426.58
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$446.68
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$173.78
Typical High
$323.59

Where Nevada 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.

Nevada $275 · 27th 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.