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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 October 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$490

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $589 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$457$204 to $501
FacilityA hospital or hospital-owned outpatient department$589$447 to $1,000

How much rates vary

Facilitymedian $589 · 10th to 90th $447 to $1,445Professionalmedian $457 · 10th to 90th $191 to $589
$100$200$500$1K$2Kfacility $589professional $457

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
$478.63
Median
$616.60
Typical High
$2,290.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$309.03
Typical High
$1,148.15
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$123.03
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$537.03
Typical High
$588.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$269.15
Typical High
$295.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$107.15
Typical High
$117.49
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$891.25
Typical High
$1,445.44
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$501.19
Typical High
$501.19
Christus
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,122.02
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$346.74
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$407.38
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$616.60

Where Louisiana 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.

Louisiana· 16th of 51

$490

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.