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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Washington, DC 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?

$54.95

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 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 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$53.70 to $57.54
FacilityA hospital or hospital-owned outpatient department$123$54.95 to $182

How much rates vary

Facilitymedian $123 · 10th to 90th $55 to $186Professionalmedian $55 · 10th to 90th $52 to $129
$50$100$200facility $123professional $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
$54.95
Median
$125.89
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$57.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$87.10
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$69.18
Typical High
$380.19

Where Washington, DC 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.

Washington, DC· 51st of 51

$54.95

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.