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Genetic Test For An Inherited Blood-Clotting Risk

Delaware 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?

$54.95

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $75.86 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 4 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 $54.95
FacilityA hospital or hospital-owned outpatient department$75.86$67.61 to $398

How much rates vary

Facilitymedian $76 · 10th to 90th $55 to $417Professionalmedian $50 · 10th to 90th $44 to $195
$50$100$200facility $76professional $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
$54.95
Median
$75.86
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$91.20
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$125.89
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$97.72

Where Delaware 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.

Delaware· 45th of 51

$54.95

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.