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Genetic Test For An Inherited Blood-Clotting Risk

Michigan 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?

$63.10

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $67.61 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53.70$48.98 to $66.07
FacilityA hospital or hospital-owned outpatient department$67.61$63.10 to $95.50

How much rates vary

Facilitymedian $68 · 10th to 90th $49 to $126Professionalmedian $54 · 10th to 90th $41 to $79
$10$20$50$100$200facility $68professional $54

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
$63.10
Median
$63.10
Typical High
$97.72
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$48.98
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$12.59
Typical High
$19.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$64.57
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$32.36
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.88
Typical High
$13.18
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$69.18
Typical High
$123.03
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$48.98
CareSource
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
CareSource
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$72.44
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$38.02
Typical High
$89.13
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$77.62
Typical High
$169.82
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$48.98
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$12.59
Typical High
$19.50
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$85.11
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Priority Health
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$38.02
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$58.88
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$40.74
Typical High
$67.61

Where Michigan 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.

Michigan· 29th of 51

$63.10

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.