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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 October 2026.

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

$52.48

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $70.79 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$39.81 to $66.07
FacilityA hospital or hospital-owned outpatient department$70.79$50.12 to $79.43

How much rates vary

Facilitymedian $71 · 10th to 90th $50 to $224Professionalmedian $50 · 10th to 90th $28 to $93
$50$100$200facility $71professional $50

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
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$81.28
Typical High
$107.15
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$32.36
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$70.79
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$67.61
Typical High
$120.23
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$85.11
Typical High
$95.50
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$75.86
Typical High
$263.03
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Select Health
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$97.72
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$39.81

Where Utah 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.

Utah· 40th of 51

$52.48

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.