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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 October 2026.

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

$67.61

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $162 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$58.88$33.88 to $97.72
FacilityA hospital or hospital-owned outpatient department$162$58.88 to $295

How much rates vary

Facilitymedian $162 · 10th to 90th $59 to $562Professionalmedian $59 · 10th to 90th $28 to $126
$50$100$200$500$1Kfacility $162professional $59

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
$53.70
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$53.70
Typical High
$58.88
CareSource
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$128.82
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$95.50
Typical High
$316.23
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$295.12
Typical High
$933.25
United
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$33.88
Typical High
$125.89

Where West Virginia 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.

West Virginia· 20th of 51

$67.61

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.