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EZH2 Gene Full Sequence Test

Georgia rates for HCPCS 81236

A laboratory test that reads the complete sequence of the EZH2 gene in a blood or bone-marrow sample and reports any changes found. Changes in this gene occur in certain bone-marrow disorders and can help confirm a diagnosis.

Rates data updated July 2026.

How much does EZH2 Gene Full Sequence Test cost?

$263

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $324 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 6 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$245$186 to $302
FacilityA hospital or hospital-owned outpatient department$324$240 to $380

How much rates vary

Facilitymedian $324 · 10th to 90th $204 to $525Professionalmedian $245 · 10th to 90th $123 to $479
$100$200$500$1Kfacility $324professional $245

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
$186.21
Median
$263.03
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$281.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$288.40
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$616.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$371.54

Where Georgia 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.

Georgia· 30th of 51

$263

AK $631DE $191

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.