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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 July 2026.

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

$52.48

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $132 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 5 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$50.12$43.65 to $60.26
FacilityA hospital or hospital-owned outpatient department$132$93.33 to $229

How much rates vary

Facilitymedian $132 · 10th to 90th $59 to $282Professionalmedian $50 · 10th to 90th $36 to $324
$50$100$200facility $132professional $50

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
$77.62
Median
$131.83
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$181.97
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$64.57
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$85.11

Where Arizona 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.

Arizona· 48th of 51

$52.48

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.