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EZH2 Gene Full Sequence Test

Rhode Island 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?

$209

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $417 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 4 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$209$200 to $214
FacilityA hospital or hospital-owned outpatient department$417$324 to $1,288

How much rates vary

Facilitymedian $417 · 10th to 90th $282 to $1,622Professionalmedian $209 · 10th to 90th $170 to $282
$200$500$1Kfacility $417professional $209

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
$812.83
Median
$1,288.25
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$407.38

Where Rhode Island 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.

Rhode Island· 49th of 51

$209

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.