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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Illinois 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?

$74.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $60.26 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 5 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$60.26$50.12 to $81.28
FacilityA hospital or hospital-owned outpatient department$138$102 to $363

How much rates vary

Facilitymedian $138 · 10th to 90th $72 to $550Professionalmedian $60 · 10th to 90th $3 to $129
$5$20$100$500facility $138professional $60

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
$72.44
Median
$138.04
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$263.03
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$50.12
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$93.33
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$331.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$177.83

Where Illinois 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.

Illinois· 33rd of 51

$74.13

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.