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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 October 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$427

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $2,512 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$191 to $513
FacilityA hospital or hospital-owned outpatient department$2,512$1,288 to $3,311

How much rates vary

Facilitymedian $2,512 · 10th to 90th $407 to $4,365Professionalmedian $275 · 10th to 90th $191 to $646
$200$500$1K$2K$5Kfacility $2,512professional $275

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
$338.84
Median
$1,445.44
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$537.03
Typical High
$537.03
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$2,818.38
Typical High
$4,466.84
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$371.54
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$407.38
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Providence
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Providence
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$630.96
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$269.15

Where New Mexico 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 Mexico· 30th of 51

$427

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.