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EZH2 Gene Full Sequence Test

Virginia 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?

$245

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $302 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 8 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$214$126 to $240
FacilityA hospital or hospital-owned outpatient department$302$282 to $617

How much rates vary

Facilitymedian $302 · 10th to 90th $240 to $1,288Professionalmedian $214 · 10th to 90th $112 to $457
$100$200$500$1K$2K$5K$10Kfacility $302professional $214

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
$213.80
Median
$588.84
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$707.95
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$588.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$323.59

Where Virginia 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.

Virginia· 35th of 51

$245

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.