go back

Genetic Test For An Inherited Blood-Clotting Risk

Missouri 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?

$75.86

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $97.72 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$60.26$39.81 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$66.07 to $126

How much rates vary

Facilitymedian $98 · 10th to 90th $58 to $224Professionalmedian $60 · 10th to 90th $26 to $224
$10.0$20.0$50.0$100.0$200.0$500.0facility $98professional $60

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
$57.54
Median
$100.00
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.20
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$93.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$66.07
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$100.00

Where Missouri sits

The same service costs 4.5 times more in West Virginia than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $75.86 · 19th of 51
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.