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Genetic Test For An Inherited Blood-Clotting Risk

Kentucky 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?

$52.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $85.11 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$45.71$26.30 to $54.95
FacilityA hospital or hospital-owned outpatient department$85.11$66.07 to $398

How much rates vary

Facilitymedian $85 · 10th to 90th $54 to $468Professionalmedian $46 · 10th to 90th $26 to $91
$20$50$100$200$500facility $85professional $46

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
$53.70
Median
$97.72
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$120.23
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$66.07
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$67.61

Where Kentucky 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.

Kentucky· 47th of 51

$52.48

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.