go back

Genetic Test For An Inherited Blood-Clotting Risk

Tennessee 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?

$66.07

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $39.81 to $138.

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.

How much rates vary

Facilitymedian $123 · 10th to 90th $49 to $174Professionalmedian $59 · 10th to 90th $30 to $490
$20$50$100$200$500facility $123professional $59

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
$48.98
Median
$52.48
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$52.48
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$24.55
Median
$25.70
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$10.47
Typical High
$15.14
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$66.07
Typical High
$67.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$134.90
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$35.48
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$67.61

Where Tennessee 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.

Tennessee· 26th of 51

$66.07

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.