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Genetic Test For An Inherited Blood-Clotting Risk

New Jersey 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?

$45.71

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $251 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$45.71$39.81 to $50.12
FacilityA hospital or hospital-owned outpatient department$251$74.13 to $10,233

How much rates vary

Facilitymedian $251 · 10th to 90th $50 to $19,953Professionalmedian $46 · 10th to 90th $33 to $79
$100$1K$10Kfacility $251professional $46

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
$43.65
Median
$43.65
Typical High
$50.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$50.12
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.20
Median
$25.12
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.24
Median
$10.00
Typical High
$10.96
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$251.19
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$181.97
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$70.79
Typical High
$138.04
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$85.11
Typical High
$95.50
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$67.61

Where New Jersey 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 Jersey· 49th of 51

$45.71

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.