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Genetic Test For An Inherited Blood-Clotting Risk

Florida 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?

$58.88

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $120 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 8 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$120$58.88 to $191

How much rates vary

Facilitymedian $120 · 10th to 90th $36 to $347Professionalmedian $50 · 10th to 90th $40 to $123
$5.0$20.0$100.0$500.0$2.0Kfacility $120professional $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
$36.31
Median
$123.03
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
AvMed
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$77.62
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$117.49
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$51.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$58.88
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$66.07
Typical High
$66.07

Where Florida sits

The same service costs 4.5 times more in West Virginia than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $58.88 · 42nd of 51
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.