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CYP2D6 Drug Metabolism Gene Test

New Hampshire 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?

$447

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $295 to $871.

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 $1,479 · 10th to 90th $776 to $2,344Professionalmedian $295 · 10th to 90th $234 to $1,122
$200$500$1K$2Kfacility $1,479professional $295

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
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,445.44
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$478.63
Typical High
$1,862.09
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$446.68
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$575.44

Where New Hampshire 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.

New Hampshire· 23rd of 51

$447

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.