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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 July 2026.

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

$63.10

Typical negotiated rate. In Michigan, July 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 $77.62 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 7 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$53.70$48.98 to $63.10
FacilityA hospital or hospital-owned outpatient department$77.62$63.10 to $105

How much rates vary

Facilitymedian $78 · 10th to 90th $63 to $158Professionalmedian $54 · 10th to 90th $41 to $78
$50$100$200facility $78professional $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
$63.10
Median
$79.43
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$91.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$158.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$91.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$100.00

Where Michigan 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.

Michigan· 35th of 51

$63.10

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.