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Genetic Test For An Inherited Blood-Clotting Risk

Arizona 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?

$53.70

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $145 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$28.18 to $67.61
FacilityA hospital or hospital-owned outpatient department$145$72.44 to $219

How much rates vary

Facilitymedian $145 · 10th to 90th $42 to $288Professionalmedian $44 · 10th to 90th $28 to $331
$50$100$200facility $145professional $44

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
$50.12
Median
$131.83
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$21.88
Typical High
$24.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$8.71
Typical High
$9.77
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$190.55
Typical High
$288.40
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$64.57
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$128.82
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$63.10
Typical High
$257.04
Medica
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$52.48
Typical High
$234.42
Medica
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$28.18
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$28.18
Typical High
$39.81

Where Arizona 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.

Arizona· 38th of 51

$53.70

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.