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Genetic Test For An Inherited Blood-Clotting Risk

Connecticut 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?

$72.44

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $112 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 6 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 $123
FacilityA hospital or hospital-owned outpatient department$112$70.79 to $135

How much rates vary

Facilitymedian $112 · 10th to 90th $66 to $182Professionalmedian $50 · 10th to 90th $36 to $309
$50$100$200$500facility $112professional $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
$66.07
Median
$114.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$102.33
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$104.71
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$79.43
Typical High
$134.90
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$125.89
Health New England
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$107.15

Where Connecticut 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.

Connecticut· 22nd of 51

$72.44

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.