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EZH2 Gene Full Sequence Test

Illinois 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 October 2026.

How much does EZH2 Gene Full Sequence Test cost?

$257

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $575 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$170 to $339
FacilityA hospital or hospital-owned outpatient department$575$372 to $977

How much rates vary

Facilitymedian $575 · 10th to 90th $316 to $1,738Professionalmedian $234 · 10th to 90th $126 to $490
$100$200$500$1K$2Kfacility $575professional $234

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
$234.42
Median
$457.09
Typical High
$851.14
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$223.87
Typical High
$426.58
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$89.13
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$234.42
Typical High
$257.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$114.82
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$3,630.78
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$676.08
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$331.13
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$426.58
Typical High
$933.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$338.84
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$281.84

Where Illinois sits

The same service costs 3.7 times more in Alaska than in Oklahoma. 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.

Illinois· 32nd of 51

$257

AK $631OK $170

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.