go back

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 October 2026.

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

$72.44

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $107 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$56.23 to $79.43
FacilityA hospital or hospital-owned outpatient department$107$72.44 to $162

How much rates vary

Facilitymedian $107 · 10th to 90th $66 to $224Professionalmedian $68 · 10th to 90th $28 to $102
$50$100$200facility $107professional $68

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
$128.82
Median
$162.18
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$74.13
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$134.90
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$66.07
Typical High
$91.20
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$72.44
Typical High
$131.83
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Providence
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$107.15
Typical High
$199.53
Providence
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$74.13
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$223.87
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$56.23
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$28.18
Typical High
$79.43

Where Oregon 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.

Oregon· 18th of 51

$72.44

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.