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CYP2D6 Drug Metabolism Gene Test

Kansas 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?

$631

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $661 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$447$269 to $617
FacilityA hospital or hospital-owned outpatient department$661$631 to $933

How much rates vary

Facilitymedian $661 · 10th to 90th $617 to $1,000Professionalmedian $447 · 10th to 90th $269 to $1,122
$200$500$1K$2Kfacility $661professional $447

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
$309.03
Median
$537.03
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$446.68
Typical High
$478.63
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$660.69
Typical High
$1,000.00
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$501.19
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$660.69
Typical High
$851.14
Medica
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$478.63
Typical High
$524.81
Medica
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$776.25
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$223.87
Typical High
$239.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$91.20
Typical High
$95.50

Where Kansas 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.

Kansas· 4th of 51

$631

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.