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CYP2D6 Drug Metabolism Gene Test

Nevada 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?

$427

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $708 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 6 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$355$251 to $513
FacilityA hospital or hospital-owned outpatient department$708$380 to $1,622

How much rates vary

Facilitymedian $708 · 10th to 90th $355 to $2,399Professionalmedian $355 · 10th to 90th $182 to $912
$10.0$100.0$1.0Kfacility $708professional $355

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
$354.81
Median
$870.96
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$2,951.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$380.19
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$537.03
Typical High
$660.69
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$691.83
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Select Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$269.15
Typical High
$501.19

Where Nevada 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.

Nevada $427 · 27th 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.