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Genetic Test For An Inherited Blood-Clotting Risk

Montana 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?

$87.10

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $145 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$75.86$50.12 to $115
FacilityA hospital or hospital-owned outpatient department$145$87.10 to $240

How much rates vary

Facilitymedian $145 · 10th to 90th $81 to $525Professionalmedian $76 · 10th to 90th $50 to $447
$100$1K$10K$100Kfacility $145professional $76

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
$81.28
Median
$239.88
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$229.09
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$199.53
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$371.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$67.61

Where Montana 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.

Montana· 13th of 51

$87.10

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.