go back

CYP2D6 Drug Metabolism Gene Test

New Mexico 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?

$537

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $1,479 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$372$339 to $537
FacilityA hospital or hospital-owned outpatient department$1,479$776 to $3,311

How much rates vary

Facilitymedian $1,479 · 10th to 90th $407 to $4,571Professionalmedian $372 · 10th to 90th $191 to $2,951
$200.0$1.0K$5.0K$20.0Kfacility $1,479professional $372

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
$676.08
Median
$1,348.96
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,884.03
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$512.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$562.34
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$269.15

Where New Mexico 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.

New Mexico $537 · 9th 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.