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Genetic Test For An Inherited Blood-Clotting Risk

Idaho 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?

$91.20

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $132 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$72.44$61.66 to $129
FacilityA hospital or hospital-owned outpatient department$132$89.13 to $145

How much rates vary

Facilitymedian $132 · 10th to 90th $66 to $170Professionalmedian $72 · 10th to 90th $50 to $309
$50$100$200facility $132professional $72

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
$107.15
Median
$134.90
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$138.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$109.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$95.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$81.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$56.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$69.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$67.61

Where Idaho sits

The same service costs 4.5 times more in West Virginia than in Rhode Island. 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.

Idaho· 11th of 51

$91.20

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.