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CYP2D6 Drug Metabolism Gene Test

Arkansas 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?

$389

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $562 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 7 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$380$275 to $437
FacilityA hospital or hospital-owned outpatient department$562$513 to $575

How much rates vary

Facilitymedian $562 · 10th to 90th $447 to $724Professionalmedian $380 · 10th to 90th $204 to $562
$200.0$500.0$1.0K$2.0Kfacility $562professional $380

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
$446.68
Median
$562.34
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$562.34
CareSource
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$724.44
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$457.09

Where Arkansas 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.

Arkansas $389 · 32nd 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.