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Genetic Test For An Inherited Blood-Clotting Risk

New York 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.

Facilitymedian $123 · 10th–90th $55$2340%10%10th90th$123Professionalmedian $54 · 10th–90th $26$1200%10%20%10th90th$54$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$125.89
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$120.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$66.07
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$87.10
Typical High
$316.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$66.07
Typical High
$147.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$125.89
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$85.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$234.42
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$123.03
Typical High
$346.74
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$151.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$79.43
Univera
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$204.17