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Genetic Test For An Inherited Blood-Clotting Risk

South Carolina 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?

$105

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $372 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$53.70$51.29 to $91.20
FacilityA hospital or hospital-owned outpatient department$372$162 to $562

How much rates vary

Facilitymedian $372 · 10th to 90th $51 to $813Professionalmedian $54 · 10th to 90th $51 to $309
$50$100$200$500$1Kfacility $372professional $54

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
$51.29
Median
$371.54
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$79.43

Where South Carolina 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.

South Carolina· 7th of 51

$105

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.