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EZH2 Gene Full Sequence Test

New Mexico 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?

$339

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $427 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$316$214 to $355
FacilityA hospital or hospital-owned outpatient department$427$257 to $851

How much rates vary

Facilitymedian $427 · 10th to 90th $182 to $912Professionalmedian $316 · 10th to 90th $117 to $1,862
$100.0$200.0$500.0$1.0K$2.0Kfacility $427professional $316

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$549.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$223.87

Where New Mexico 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.

New Mexico $339 · 10th 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.