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EZH2 Gene Full Sequence Test

West 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 October 2026.

How much does EZH2 Gene Full Sequence Test cost?

$240

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $550 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$141 to $407
FacilityA hospital or hospital-owned outpatient department$550$234 to $708

How much rates vary

Facilitymedian $550 · 10th to 90th $234 to $851Professionalmedian $234 · 10th to 90th $117 to $525
$100$200$500$1Kfacility $550professional $234

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$234.42
Typical High
$239.88
CareSource
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$549.54
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$398.11
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$141.25
Typical High
$524.81

Where West Virginia sits

The same service costs 3.7 times more in Alaska than in Oklahoma. 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.

West Virginia· 36th of 51

$240

AK $631OK $170

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.