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CYP2D6 Drug Metabolism Gene Test

Hawaii 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?

$562

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $501 to $646.

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.

How much rates vary

Facilitymedian $447 · 10th to 90th $372 to $537Professionalmedian $589 · 10th to 90th $457 to $813
$500.0$1.0Kfacility $447professional $589

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
$371.54
Median
$446.68
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
HMSA
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$446.68
Typical High
$645.65
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$1,023.29

Where Hawaii 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.

Hawaii $562 · 8th 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.