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EZH2 Gene Full Sequence Test

South Dakota 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?

$427

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $537 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$372$219 to $661
FacilityA hospital or hospital-owned outpatient department$537$525 to $537

How much rates vary

Facilitymedian $537 · 10th to 90th $324 to $537Professionalmedian $372 · 10th to 90th $191 to $676
$200.0$500.0$1.0Kfacility $537professional $372

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
$199.53
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where South Dakota 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 Dakota $427 · 4th 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.