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Genetic Test For An Inherited Blood-Clotting Risk

Maine 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 Maine, 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 $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 6 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$85.11$66.07 to $263

How much rates vary

Facilitymedian $85 · 10th to 90th $66 to $302Professionalmedian $66 · 10th to 90th $40 to $79
$50$100$200$500$1Kfacility $85professional $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
$53.70
Median
$83.18
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$295.12
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$66.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$79.43
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$331.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$107.15

Where Maine 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.

Maine· 27th 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.