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Genetic Test For An Inherited Blood-Clotting Risk

Alabama rates for HCPCS 81240

A blood sample is tested for a specific, common genetic change in a clotting-related gene that is linked to an increased risk of developing blood clots. This test is often ordered as part of a workup for someone who has had an unexplained blood clot or has a family history of clotting problems.

Rates data updated October 2026.

How much does Genetic Test For An Inherited Blood-Clotting Risk cost?

$63.10

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $63.10 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$39.81$30.20 to $75.86
FacilityA hospital or hospital-owned outpatient department$63.10$63.10 to $63.10

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $63Professionalmedian $40 · 10th to 90th $28 to $76
$50$100$200facility $63professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$15.14
Typical High
$15.14
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31
Typical Low
$33.88
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$54.95
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$30.90
Typical High
$281.84
United
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$58.88
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$37.15
Typical High
$39.81

Where Alabama sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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.

Alabama· 30th of 51

$63.10

AK $148KY $43.65

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.