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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 October 2026.

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

$45.71

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $120 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$28.18 to $52.48
FacilityA hospital or hospital-owned outpatient department$120$79.43 to $120

How much rates vary

Facilitymedian $120 · 10th to 90th $50 to $120Professionalmedian $41 · 10th to 90th $23 to $78
$10$20$50$100$200facility $120professional $41

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$48.98
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$45.71
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$22.91
Typical High
$26.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$9.12
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
AvMed
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$66.07
Typical High
$79.43
AvMed
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$53.70
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$46.77
Typical High
$117.49
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$39.81
Typical High
$61.66
Molina
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$28.18
Typical High
$87.10
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$66.07
Typical High
$66.07

Where Florida 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.

Florida· 48th of 51

$45.71

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.