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Genetic Test For An Inherited Blood-Clotting Risk

Washington, DC 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?

$51.29

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $162 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$48.98$48.98 to $51.29
FacilityA hospital or hospital-owned outpatient department$162$120 to $380

How much rates vary

Facilitymedian $162 · 10th to 90th $49 to $398Professionalmedian $49 · 10th to 90th $47 to $135
$50$100$200$500$1Kfacility $162professional $49

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
$48.98
Median
$269.15
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$51.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$117.49
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$79.43
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$61.66
Typical High
$338.84

Where Washington, DC 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.

Washington, DC· 49th of 51

$51.29

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.