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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Georgia 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?

$81.28

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $100 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$66.07$48.98 to $91.20
FacilityA hospital or hospital-owned outpatient department$100$74.13 to $132

How much rates vary

Facilitymedian $100 · 10th to 90th $59 to $363Professionalmedian $66 · 10th to 90th $33 to $148
$20$50$100$200$500$1Kfacility $100professional $66

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
$58.88
Median
$131.83
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$83.18
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$162.18
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$100.00

Where Georgia 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.

Georgia· 25th of 51

$81.28

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.