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EZH2 Gene Full Sequence Test

Maine 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?

$282

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $457 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$282$229 to $282
FacilityA hospital or hospital-owned outpatient department$457$282 to $1,259

How much rates vary

Facilitymedian $457 · 10th to 90th $282 to $1,820Professionalmedian $282 · 10th to 90th $170 to $339
$100.0$200.0$500.0$1.0K$2.0Kfacility $457professional $282

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
$281.84
Median
$281.84
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,819.70
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$338.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$436.52

Where Maine sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $282 · 17th of 51
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.