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CYP2D6 Drug Metabolism Gene Test

Alaska rates for HCPCS 81226

Examines the CYP2D6 gene, which carries the instructions for a liver enzyme that breaks down a large share of common medicines. The test checks for the usual variants, including extra or missing copies of the gene, and reports whether a person clears those drugs slowly, normally, or unusually fast.

Rates data updated July 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$1,023

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,660 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$1,023$447 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,660$661 to $2,138

How much rates vary

Facilitymedian $1,660 · 10th to 90th $447 to $3,548Professionalmedian $1,023 · 10th to 90th $316 to $1,514
$500.0$1.0K$2.0K$5.0Kfacility $1,660professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,348.96
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$1,445.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$2,137.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,258.93
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$1,348.96

Where Alaska 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.

Alaska $1,023 · 1st of 51
AK $1,023VT $269

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.