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Genetic Test For An Inherited Blood-Clotting Risk

Vermont 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?

$120

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $501 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$50.12 to $91.20
FacilityA hospital or hospital-owned outpatient department$501$120 to $537

How much rates vary

Facilitymedian $501 · 10th to 90th $120 to $589Professionalmedian $68 · 10th to 90th $40 to $102
$50$100$200$500facility $501professional $68

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
$120.23
Median
$501.19
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$50.12
Typical High
$50.12
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$91.20
Typical High
$147.91
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$75.86
Typical High
$144.54

Where Vermont 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.

Vermont· 3rd of 51

$120

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.