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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 July 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$363

Typical negotiated rate. In Arizona, July 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 $759 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 5 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$302$245 to $363
FacilityA hospital or hospital-owned outpatient department$759$537 to $1,738

How much rates vary

Facilitymedian $759 · 10th to 90th $347 to $1,950Professionalmedian $302 · 10th to 90th $191 to $513
$1.0$10.0$100.0$1.0Kfacility $759professional $302

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
$537.03
Median
$758.58
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,288.25
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$436.52
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$446.68

Where Arizona 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.

Arizona $363 · 43rd 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.