go back

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 October 2026.

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

$63.10

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $182 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$40.74$39.81 to $126
FacilityA hospital or hospital-owned outpatient department$182$97.72 to $302

How much rates vary

Facilitymedian $182 · 10th to 90th $44 to $398Professionalmedian $41 · 10th to 90th $37 to $331
$50$100$200$500facility $182professional $41

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
$46.77
Median
$147.91
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$154.88
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$295.12
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$100.00
Typical High
$309.03
Medica
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$331.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$27.54
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$39.81
Typical High
$199.53

Where Nebraska 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.

Nebraska· 28th of 51

$63.10

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.