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EZH2 Gene Full Sequence Test

Indiana 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?

$234

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $282 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 5 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$234$170 to $234
FacilityA hospital or hospital-owned outpatient department$282$282 to $562

How much rates vary

Facilitymedian $282 · 10th to 90th $282 to $851Professionalmedian $234 · 10th to 90th $112 to $257
$200$500$1K$2Kfacility $282professional $234

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
$234.42
Median
$316.23
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$338.84

Where Indiana 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.

Indiana· 41st of 51

$234

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.