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Genetic Test For An Inherited Blood-Clotting Risk

New Hampshire 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?

$66.07

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $204 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$42.66$39.81 to $70.79
FacilityA hospital or hospital-owned outpatient department$204$117 to $269

How much rates vary

Facilitymedian $204 · 10th to 90th $66 to $339Professionalmedian $43 · 10th to 90th $40 to $155
$50$100$200$500facility $204professional $43

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
$50.12
Median
$50.12
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$50.12
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$245.47
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$69.18
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$66.07
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$83.18

Where New Hampshire 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.

New Hampshire· 27th of 51

$66.07

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.