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CYP2D6 Drug Metabolism Gene Test

Oregon 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?

$501

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $724 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$380 to $537
FacilityA hospital or hospital-owned outpatient department$724$479 to $1,096

How much rates vary

Facilitymedian $724 · 10th to 90th $447 to $1,549Professionalmedian $447 · 10th to 90th $191 to $708
$100$200$500$1K$2Kfacility $724professional $447

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
$1,122.02
Median
$1,122.02
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,258.93
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$501.19
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$1,995.26
Moda Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$446.68
Typical High
$537.03
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$501.19
Typical High
$912.01
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$724.44
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$501.19
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,513.56
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$380.19
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$676.08
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$537.03

Where Oregon 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.

Oregon· 15th of 51

$501

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.