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CYP2D6 Drug Metabolism Gene Test

Louisiana 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 Louisiana, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $617 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$537$479 to $589
FacilityA hospital or hospital-owned outpatient department$617$513 to $1,175

How much rates vary

Facilitymedian $617 · 10th to 90th $447 to $1,660Professionalmedian $537 · 10th to 90th $234 to $1,622
$10.0$50.0$200.0$1.0Kfacility $617professional $537

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
$478.63
Median
$602.56
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$549.54
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$501.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,479.11
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$630.96

Where Louisiana 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.

Louisiana $562 · 7th 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.