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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Iowa 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?

$115

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $138 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$105$57.54 to $363
FacilityA hospital or hospital-owned outpatient department$138$107 to $251

How much rates vary

Facilitymedian $138 · 10th to 90th $74 to $479Professionalmedian $105 · 10th to 90th $50 to $447
$50$100$200$500facility $138professional $105

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
$173.78
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$173.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$97.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Iowa 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.

Iowa· 8th of 51

$115

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.