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Genetic Test For An Inherited Blood-Clotting Risk

North Dakota 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 North Dakota, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $89.13 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$75.86 to $115
FacilityA hospital or hospital-owned outpatient department$89.13$45.71 to $138

How much rates vary

Facilitymedian $89 · 10th to 90th $46 to $288Professionalmedian $95 · 10th to 90th $35 to $132
$50$100$200$500facility $89professional $95

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
$45.71
Median
$61.66
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$50.12
Typical High
$97.72
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$288.40
Typical High
$588.84
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$112.20
Typical High
$131.83
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$91.20
Median
$134.90
Typical High
$158.49
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$22.39
Typical High
$26.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$95.50
Typical High
$117.49
Medica
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$158.49
Medica
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$79.43
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$75.86
Typical High
$95.50

Where North Dakota 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.

North Dakota· 5th 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.