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Genetic Test For An Inherited Blood-Clotting Risk

Iowa 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?

$93.33

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $126 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$91.20$50.12 to $178
FacilityA hospital or hospital-owned outpatient department$126$85.11 to $191

How much rates vary

Facilitymedian $126 · 10th to 90th $66 to $389Professionalmedian $91 · 10th to 90th $40 to $324
$10.0$20.0$50.0$100.0$200.0$500.0facility $126professional $91

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
$66.07
Median
$154.88
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$91.20
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$158.49
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$87.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07

Where Iowa 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.

Iowa $93.33 · 10th 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.