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Genetic Test For An Inherited Blood-Clotting Risk

Nebraska 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?

$148

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $224 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$100$43.65 to $145
FacilityA hospital or hospital-owned outpatient department$224$148 to $389

How much rates vary

Facilitymedian $224 · 10th to 90th $79 to $468Professionalmedian $100 · 10th to 90th $40 to $437
$50$100$200$500facility $224professional $100

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
$97.72
Median
$281.84
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$144.54
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$141.25
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$181.97

Where Nebraska 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.

Nebraska· 4th of 51

$148

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.