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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Connecticut 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?

$89.13

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $123 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 6 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$57.54$47.86 to $155
FacilityA hospital or hospital-owned outpatient department$123$79.43 to $162

How much rates vary

Facilitymedian $123 · 10th to 90th $74 to $200Professionalmedian $58 · 10th to 90th $46 to $380
$50$100$200$500facility $123professional $58

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
$74.13
Median
$125.89
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$87.10
Typical High
$151.36
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$138.04
Health New England
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$120.23

Where Connecticut 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.

Connecticut· 17th of 51

$89.13

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.