go back

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 October 2026.

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

$95.50

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $112 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$87.10$58.88 to $95.50
FacilityA hospital or hospital-owned outpatient department$112$97.72 to $129

How much rates vary

Facilitymedian $112 · 10th to 90th $87 to $195Professionalmedian $87 · 10th to 90th $28 to $112
$50$100$200facility $112professional $87

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
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$75.86
Typical High
$97.72
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$407.38
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$97.72
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$112.20
Typical High
$131.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$120.23
Providence
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$97.72
Typical High
$371.54
Providence
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$66.07

Where Montana 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.

Montana· 6th of 51

$95.50

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.