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CYP2C9 Drug Metabolism Gene Test

Utah 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?

$155

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $191 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$105 to $174
FacilityA hospital or hospital-owned outpatient department$191$155 to $209

How much rates vary

Facilitymedian $191 · 10th to 90th $155 to $603Professionalmedian $148 · 10th to 90th $74 to $245
$100$200$500facility $191professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$251.19
Typical High
$323.59
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$100.00
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$190.55
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$181.97
Typical High
$323.59
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$223.87
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$199.53
Select Health
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$257.04
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$104.71

Where Utah 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.

Utah· 34th of 51

$155

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.