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Genetic Test For An Inherited Blood-Clotting Risk

Ohio 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?

$52.48

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $95.50 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$26.30 to $66.07
FacilityA hospital or hospital-owned outpatient department$95.50$69.18 to $145

How much rates vary

Facilitymedian $95 · 10th to 90th $60 to $214Professionalmedian $36 · 10th to 90th $26 to $138
$50$100$200facility $95professional $36

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
$64.57
Median
$144.54
Typical High
$263.03
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$72.44
Typical High
$131.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$28.84
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$61.66
Typical High
$257.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$26.30
Typical High
$128.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$75.86
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$89.13
Aultcare
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
CareSource
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$87.10
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$117.49
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$89.13
Typical High
$269.15
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$117.49
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$58.88
Typical High
$81.28
SummaCare
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$81.28
Typical High
$104.71
United
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$58.88
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$93.33

Where Ohio 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.

Ohio· 41st of 51

$52.48

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.