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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Florida 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?

$64.57

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $135 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 8 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$53.70$50.12 to $74.13
FacilityA hospital or hospital-owned outpatient department$135$64.57 to $214

How much rates vary

Facilitymedian $135 · 10th to 90th $29 to $302Professionalmedian $54 · 10th to 90th $44 to $120
$10$20$50$100$200$500facility $135professional $54

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
$16.60
Median
$138.04
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
AvMed
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$87.10
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$131.83
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$26.30
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$114.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$74.13
Typical High
$74.13

Where Florida 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.

Florida· 43rd of 51

$64.57

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.