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Genetic Test For An Inherited Blood-Clotting Risk

Virginia 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?

$66.07

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $97.72 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 8 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$51.29$35.48 to $60.26
FacilityA hospital or hospital-owned outpatient department$97.72$66.07 to $234

How much rates vary

Facilitymedian $98 · 10th to 90th $56 to $380Professionalmedian $51 · 10th to 90th $26 to $126
$1$10$100$1K$10Kfacility $98professional $51

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
$48.98
Median
$144.54
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$43.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$173.78
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$91.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$100.00
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.88
Typical High
$85.11

Where Virginia 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.

Virginia· 26th of 51

$66.07

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.