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CYP2D6 Drug Metabolism Gene Test

Arizona 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 October 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$363

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $977 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$191 to $447
FacilityA hospital or hospital-owned outpatient department$977$490 to $1,479

How much rates vary

Facilitymedian $977 · 10th to 90th $288 to $1,950Professionalmedian $302 · 10th to 90th $191 to $2,239
$200$500$1K$2Kfacility $977professional $302

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
$346.74
Median
$1,445.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,318.26
Typical High
$1,949.84
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$446.68
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$891.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$436.52
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$363.08
Typical High
$776.25
Medica
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$269.15

Where Arizona sits

The same service costs 3.7 times more in Alaska than in Florida. 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.

Arizona· 37th of 51

$363

AK $1,023FL $275

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.