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Drug-Processing Gene Test

Mississippi rates for HCPCS 81230

Reads a gene that controls one of the liver enzymes the body uses to break down medicines. People carry different versions, and some clear certain drugs much faster or slower than average, which is why an ordinary dose can be ineffective for one person and too strong for another.

Rates data updated July 2026.

How much does Drug-Processing Gene Test cost?

$200

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $214 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 4 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$186$132 to $316
FacilityA hospital or hospital-owned outpatient department$214$174 to $316

How much rates vary

Facilitymedian $214 · 10th to 90th $158 to $316Professionalmedian $186 · 10th to 90th $105 to $355
$100$200$500facility $214professional $186

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
$173.78
Median
$316.23
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$295.12

Where Mississippi sits

The same service costs 3.3 times more in Alaska than in Delaware. 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.

Mississippi· 12th of 51

$200

AK $389DE $117

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.