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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $162 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 9 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$74.13$57.54 to $81.28
FacilityA hospital or hospital-owned outpatient department$162$107 to $214

How much rates vary

Facilitymedian $162 · 10th to 90th $65 to $309Professionalmedian $74 · 10th to 90th $46 to $191
$50$100$200$500$1K$2Kfacility $162professional $74

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
$165.96
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$239.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$77.62
Typical High
$190.55
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$134.90
Health New England
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$234.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$239.88
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$165.96

Where Massachusetts 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.

Massachusetts· 34th 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.