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Genetic Test For An Inherited Blood-Clotting Risk

Oklahoma 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.

How much does Genetic Test For An Inherited Blood-Clotting Risk cost?

$162

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $245 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$39.81 to $70.79
FacilityA hospital or hospital-owned outpatient department$245$70.79 to $347

How much rates vary

Facilitymedian $245 · 10th to 90th $49 to $427Professionalmedian $49 · 10th to 90th $28 to $83
$50$100$200$500facility $245professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$173.78
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$66.07
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$338.84

Where Oklahoma sits

The same service costs 4.5 times more in West Virginia than in Rhode Island. 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.

Oklahoma· 2nd of 51

$162

WV $224RI $50.12

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.