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CYP2D6 Drug Metabolism Gene Test

North Dakota 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?

$589

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $447 to $759.

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 $316 · 10th to 90th $316 to $537Professionalmedian $661 · 10th to 90th $229 to $912
$200$500$1Kfacility $316professional $661

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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$426.58
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$758.58
Typical High
$912.01
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$616.60
Median
$912.01
Typical High
$1,071.52
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$104.71
Median
$154.88
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$954.99
Medica
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$501.19
Typical High
$660.69

Where North Dakota 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.

North Dakota· 6th of 51

$589

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.