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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 October 2026.

How much does CYP2C9 Drug Metabolism Gene Test cost?

$158

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $977 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$74.13 to $191
FacilityA hospital or hospital-owned outpatient department$977$501 to $1,288

How much rates vary

Facilitymedian $977 · 10th to 90th $158 to $1,698Professionalmedian $107 · 10th to 90th $74 to $245
$100$200$500$1Kfacility $977professional $107

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
$131.83
Median
$562.34
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$208.93
Typical High
$208.93
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$1,096.48
Typical High
$1,737.80
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$144.54
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$154.88
Typical High
$398.11
Molina
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Providence
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$229.09
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$104.71

Where New Mexico 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 Mexico· 31st of 51

$158

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.