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Genetic Test For An Inherited Blood-Clotting Risk

Indiana 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?

$60.26

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $79.43 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$40.74 to $56.23
FacilityA hospital or hospital-owned outpatient department$79.43$66.07 to $195

How much rates vary

Facilitymedian $79 · 10th to 90th $65 to $257Professionalmedian $54 · 10th to 90th $26 to $66
$50$100$200$500facility $79professional $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
$102.33
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$97.72

Where Indiana 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.

Indiana· 39th of 51

$60.26

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.