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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Delaware 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?

$75.86

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $417 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 4 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$48.98$45.71 to $60.26
FacilityA hospital or hospital-owned outpatient department$417$75.86 to $468

How much rates vary

Facilitymedian $417 · 10th to 90th $60 to $490Professionalmedian $49 · 10th to 90th $46 to $219
$50$100$200$500facility $417professional $49

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
$60.26
Median
$416.87
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$48.98
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$114.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$154.88
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$109.65

Where Delaware 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.

Delaware· 29th of 51

$75.86

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.