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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Idaho 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?

$91.20

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $77.62 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$77.62$69.18 to $145
FacilityA hospital or hospital-owned outpatient department$135$89.13 to $170

How much rates vary

Facilitymedian $135 · 10th to 90th $74 to $251Professionalmedian $78 · 10th to 90th $48 to $363
$50$100$200facility $135professional $78

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
$89.13
Median
$154.88
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$102.33
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$151.36
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$123.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$109.65
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$263.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$125.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$83.18

Where Idaho 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.

Idaho· 16th of 51

$91.20

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.