go back

Genetic Test For An Inherited Blood-Clotting Risk

Georgia 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?

$66.07

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $89.13 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$58.88$43.65 to $74.13
FacilityA hospital or hospital-owned outpatient department$89.13$66.07 to $141

How much rates vary

Facilitymedian $89 · 10th to 90th $52 to $347Professionalmedian $59 · 10th to 90th $30 to $182
$100.0$1.0K$10.0K$100.0Kfacility $89professional $59

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
$52.48
Median
$117.49
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$67.61
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$66.07
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$144.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$707.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$100.00

Where Georgia 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.

Georgia $66.07 · 31st 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.