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Genetic Test For An Inherited Blood-Clotting Risk

Arkansas 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 July 2026.

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

$67.61

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $83.18 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 7 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$57.54$50.12 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$74.13 to $83.18

How much rates vary

Facilitymedian $83 · 10th to 90th $68 to $107Professionalmedian $58 · 10th to 90th $41 to $309
$50$100$200facility $83professional $58

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
$75.86
Median
$83.18
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$60.26
Typical High
$104.71
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$67.61

Where Arkansas sits

The same service costs 4.5 times more in West Virginia than in Rhode Island. 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.

Arkansas· 24th of 51

$67.61

WV $224RI $50.12

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.