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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 July 2026.

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

$58.88

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $129 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$52.48$48.98 to $67.61
FacilityA hospital or hospital-owned outpatient department$129$66.07 to $214

How much rates vary

Facilitymedian $129 · 10th to 90th $52 to $269Professionalmedian $52 · 10th to 90th $40 to $95
$20$50$100$200$500facility $129professional $52

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
$52.48
Median
$128.82
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$134.90
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$91.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$79.43

Where Tennessee 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.

Tennessee· 41st of 51

$58.88

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.