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EZH2 Gene Full Sequence Test

Kentucky 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?

$224

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 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$224$224 to $240
FacilityA hospital or hospital-owned outpatient department$282$234 to $417

How much rates vary

Facilitymedian $282 · 10th to 90th $234 to $676Professionalmedian $224 · 10th to 90th $170 to $316
$200$500$1Kfacility $282professional $224

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
$234.42
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$436.52
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$281.84

Where Kentucky 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.

Kentucky· 44th of 51

$224

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.