CPT 0516U Pathology/Laboratory
Pharmacogenomic genotyping of 40 genes reported as metabolizer status for drug Cost
Body System: General
Medicare Facility Rate
$417
CMS PFS CY2026
Medicare Non-Facility Rate
$417
Office/clinic setting
Frequently Asked Questions
How much does Pharmacogenomic genotyping of 40 genes reported as metabolizer status for drug cost?
The Medicare facility rate is $417. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Pharmacogenomic genotyping of 40 genes reported as metabolizer status for drug cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $417.