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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Arizona rates for HCPCS 81241

A blood sample is tested for a specific, well-known genetic change called Factor V Leiden, which is associated with an increased risk of developing blood clots. This test is often ordered together with a related clotting-gene test as part of a workup after an unexplained blood clot or when there is a family history of clotting problems.

Rates data updated July 2026.

How much does Genetic Test For Factor V Leiden (Inherited Clotting Risk) cost?

$58.88

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $148 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$54.95$48.98 to $81.28
FacilityA hospital or hospital-owned outpatient department$148$107 to $257

How much rates vary

Facilitymedian $148 · 10th to 90th $62 to $316Professionalmedian $55 · 10th to 90th $46 to $380
$50$100$200$500facility $148professional $55

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
$104.71
Median
$218.78
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$204.17
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$70.79
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$95.50

Where Arizona sits

The same service costs 4.5 times more in West Virginia than in Washington, DC. 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.

Arizona· 47th of 51

$58.88

WV $245DC $54.95

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.