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 October 2026.

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

$50.12

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $67.61 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$43.65	$32.36 to $54.95
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$67.61	$50.12 to $141

How much rates vary

Facilitymedian $68 · 10th to 90th $44 to $316Professionalmedian $44 · 10th to 90th $28 to $98

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $141.25	Facility	None	$54.95	$54.95	$141.25
Aetna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $56.23	Professional	None	$43.65	$54.95	$56.23
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $120.23	Facility	None	$42.66	$42.66	$120.23
Cigna Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $316.23	Professional	None	$34.67	$43.65	$316.23
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $125.89 Typical High $436.52	Facility	None	$43.65	$125.89	$436.52
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $97.72	Professional	None	$27.54	$39.81	$97.72

Where Delaware 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.

Delaware· 45th of 51

$50.12

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.