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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 October 2026.

How much does CYP2D6 Drug Metabolism Gene Test cost?

$427

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $525 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$191$182 to $447
FacilityA hospital or hospital-owned outpatient department$525$447 to $631

How much rates vary

Facilitymedian $525 · 10th to 90th $447 to $1,622Professionalmedian $191 · 10th to 90th $182 to $537
$200$500$1K$2Kfacility $525professional $191

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
$354.81
Median
$741.31
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$354.81
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$512.86
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$229.09
Typical High
$1,230.27
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$691.83
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$363.08
Typical High
$588.84

Where Nevada 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.

Nevada· 27th 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.