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Genetic Test For An Inherited Blood-Clotting Risk

Massachusetts 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?

$66.07

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $138 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 9 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$66.07$53.70 to $66.07
FacilityA hospital or hospital-owned outpatient department$138$93.33 to $195

How much rates vary

Facilitymedian $138 · 10th to 90th $58 to $316Professionalmedian $66 · 10th to 90th $44 to $162
$50$100$200$500$1K$2Kfacility $138professional $66

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
$162.18
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$309.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$213.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$69.18
Typical High
$169.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$120.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$154.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$213.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$147.91

Where Massachusetts 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.

Massachusetts· 32nd of 51

$66.07

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.