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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.

Facilitymedian $138 · 10th–90th $58$3160%10%20%10th90th$138Professionalmedian $66 · 10th–90th $44$1620%20%40%10th90th$66$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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