go back

Genetic Test For An Inherited Blood-Clotting Risk

Rhode Island 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?

$50.12

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $123 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 4 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$46.77 to $50.12
FacilityA hospital or hospital-owned outpatient department$123$79.43 to $148

How much rates vary

Facilitymedian $123 · 10th to 90th $76 to $204Professionalmedian $49 · 10th to 90th $42 to $66
$50$100$200facility $123professional $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
$81.28
Median
$147.91
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$97.72

Where Rhode Island 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.

Rhode Island· 51st of 51

$50.12

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.