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Genetic Test For An Inherited Blood-Clotting Risk

Maryland 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?

$53.70

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $48.98 to $66.07.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $36 to $331Professionalmedian $54 · 10th to 90th $36 to $141
$50$100$200$500facility $76professional $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
$42.66
Median
$75.86
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$52.48

Where Maryland 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.

Maryland· 46th of 51

$53.70

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.