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Genetic Test For An Inherited Blood-Clotting Risk

New Mexico 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?

$58.88

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $363 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$53.70$28.18 to $61.66
FacilityA hospital or hospital-owned outpatient department$363$117 to $479

How much rates vary

Facilitymedian $363 · 10th to 90th $59 to $631Professionalmedian $54 · 10th to 90th $28 to $91
$50$100$200$500facility $363professional $54

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
$48.98
Median
$123.03
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$79.43
Typical High
$91.20
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$407.38
Typical High
$645.65
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$53.70
Typical High
$61.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$58.88
Typical High
$147.91
Molina
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Providence
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Providence
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$87.10
Typical High
$95.50
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
$28.18
Typical High
$39.81

Where New Mexico 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 Mexico· 34th of 51

$58.88

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.