go back

CYP2C19 Drug Metabolism Gene Test

Oregon 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?

$324

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $479 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$245 to $347
FacilityA hospital or hospital-owned outpatient department$479$324 to $708

How much rates vary

Facilitymedian $479 · 10th to 90th $288 to $1,023Professionalmedian $288 · 10th to 90th $123 to $457
$100$200$500$1Kfacility $479professional $288

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
$724.44
Median
$724.44
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$812.83
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$323.59
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$707.95
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$1,288.25
Moda Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$288.40
Typical High
$354.81
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$331.13
Typical High
$588.84
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Providence
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$478.63
Typical High
$870.96
Providence
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$323.59
Typical High
$436.52
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$977.24
Typical High
$1,288.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$245.47
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$436.52
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$346.74

Where Oregon 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.

Oregon· 13th of 51

$324

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.