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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 October 2026.

How much does Genetic Test For An Inherited Blood-Clotting Risk cost?

$53.70

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $81.28 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$33.88 to $58.88
FacilityA hospital or hospital-owned outpatient department$81.28$63.10 to $95.50

How much rates vary

Facilitymedian $81 · 10th to 90th $54 to $282Professionalmedian $40 · 10th to 90th $26 to $91
$50$100$200$500facility $81professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$53.70
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$87.10
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$33.11
Typical High
$42.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$66.07
Typical High
$66.07
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$66.07
Typical High
$117.49
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$85.11
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$117.49

Where Maine sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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· 37th of 51

$53.70

AK $148KY $43.65

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.