go back

EZH2 Gene Full Sequence Test

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $692 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$219$219 to $245
FacilityA hospital or hospital-owned outpatient department$692$240 to $912

How much rates vary

Facilitymedian $692 · 10th to 90th $219 to $1,349Professionalmedian $219 · 10th to 90th $170 to $295
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $692professional $219

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
$218.78
Median
$691.83
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$281.84

Where South Carolina 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.

South Carolina $224 · 45th 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.