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Genetic Test For An Inherited Blood-Clotting Risk

Utah 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 Utah, 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 $132 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 6 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$50.12 to $57.54
FacilityA hospital or hospital-owned outpatient department$132$60.26 to $398

How much rates vary

Facilitymedian $132 · 10th to 90th $50 to $427Professionalmedian $52 · 10th to 90th $30 to $72
$50$100$200facility $132professional $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
$50.12
Median
$158.49
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$69.18
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$67.61
Typical High
$141.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$263.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$67.61

Where Utah 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.

Utah· 43rd 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.