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CYP2C9 Drug Metabolism Gene Test

Georgia rates for HCPCS 81227

Examines the CYP2C9 gene, which carries the instructions for a liver enzyme that breaks down a specific set of medicines. The test checks for the common variants and reports whether a person clears those drugs normally or more slowly than usual, which affects the dose they need.

Rates data updated July 2026.

How much does CYP2C9 Drug Metabolism Gene Test cost?

$162

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $209 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 7 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$148$105 to $191
FacilityA hospital or hospital-owned outpatient department$209$158 to $240

How much rates vary

Facilitymedian $209 · 10th to 90th $135 to $324Professionalmedian $148 · 10th to 90th $72 to $302
$20$50$100$200$500facility $209professional $148

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
$117.49
Median
$239.88
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$173.78
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$380.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$223.87

Where Georgia sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Georgia· 30th of 51

$162

AK $389MD $132

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.