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CYP2D6 Drug Metabolism Gene Test

Wisconsin 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.

Facilitymedian $1,202 · 10th–90th $490$2,1380%20%10th90th$1,202Professionalmedian $513 · 10th–90th $182$1,5490%10%20%10th90th$513$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$426.58
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$1,862.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,071.52
Typical High
$1,412.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,905.46
Typical High
$2,884.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$691.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,288.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,348.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,479.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,137.96
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$2,238.72
Typical High
$2,238.72
Security Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$954.99
Security Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$363.08
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$741.31