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CYP2D6 Drug Metabolism Gene Test

Washington, DC 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?

$339

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $324 to $380.

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.

How much rates vary

Facilitymedian $759 · 10th to 90th $339 to $1,738Professionalmedian $339 · 10th to 90th $204 to $575
$200$500$1K$2Kfacility $759professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$338.84
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$323.59
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$758.58
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$575.44
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$912.01
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$537.03

Where Washington, DC 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.

Washington, DC· 43rd of 51

$339

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.