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Genetic Test For An Inherited Blood-Clotting Risk

West 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?

$224

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $269 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 $56.23
FacilityA hospital or hospital-owned outpatient department$269$158 to $575

How much rates vary

Facilitymedian $269 · 10th to 90th $89 to $891Professionalmedian $52 · 10th to 90th $44 to $59
$50$100$200$500$1Kfacility $269professional $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
$89.13
Median
$467.74
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$52.48
Typical High
$56.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$316.23
Typical High
$316.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$331.13
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$72.44

Where West 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.

West Virginia· 1st of 51

$224

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.