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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 October 2026.

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

$50.12

Typical negotiated rate. In Rhode Island, October 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 $79.43 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$39.81 to $53.70
FacilityA hospital or hospital-owned outpatient department$79.43$67.61 to $100

How much rates vary

Facilitymedian $79 · 10th to 90th $60 to $182Professionalmedian $49 · 10th to 90th $35 to $89
$50$100$200facility $79professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$50.12
Typical High
$50.12
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$100.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$48.98
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$109.65

Where Rhode Island 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.

Rhode Island· 44th of 51

$50.12

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.