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Genetic Test For An Inherited Blood-Clotting Risk

Oregon 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?

$72.44

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $107 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 8 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$66.07$56.23 to $95.50
FacilityA hospital or hospital-owned outpatient department$107$66.07 to $141

How much rates vary

Facilitymedian $107 · 10th to 90th $66 to $191Professionalmedian $66 · 10th to 90th $50 to $251
$50$100$200$500facility $107professional $66

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
$102.33
Median
$138.04
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$173.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$91.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$95.50
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$79.43

Where Oregon 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.

Oregon· 21st of 51

$72.44

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.