go back

CYP2C9 Drug Metabolism Gene Test

New Jersey 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 October 2026.

How much does CYP2C9 Drug Metabolism Gene Test cost?

$123

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $7,762 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$105 to $155
FacilityA hospital or hospital-owned outpatient department$7,762$457 to $16,982

How much rates vary

Facilitymedian $7,762 · 10th to 90th $195 to $23,988Professionalmedian $123 · 10th to 90th $87 to $174
$100$500$2K$10Kfacility $7,762professional $123

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
$114.82
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$489.78
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$186.21
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$229.09
Typical High
$251.19
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$173.78

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

New Jersey· 48th of 51

$123

AK $389NE $115

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.