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CYP2C9 Drug Metabolism Gene Test

New Mexico 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?

$209

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $575 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 5 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$145$132 to $209
FacilityA hospital or hospital-owned outpatient department$575$302 to $1,288

How much rates vary

Facilitymedian $575 · 10th to 90th $158 to $1,778Professionalmedian $145 · 10th to 90th $74 to $1,148
$100$1K$10Kfacility $575professional $145

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
$263.03
Median
$524.81
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,122.02
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$104.71

Where New Mexico 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.

New Mexico· 9th of 51

$209

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.