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Genetic Test For An Inherited Blood-Clotting Risk

Illinois 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?

$63.10

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $53.70 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 5 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$53.70$45.71 to $66.07
FacilityA hospital or hospital-owned outpatient department$132$89.13 to $295

How much rates vary

Facilitymedian $132 · 10th to 90th $65 to $457Professionalmedian $54 · 10th to 90th $3 to $115
$5.0$20.0$100.0$500.0facility $132professional $54

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
$64.57
Median
$131.83
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$45.71
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$79.43
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$42.66
Typical High
$158.49

Where Illinois 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.

Illinois $63.10 · 36th 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.