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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Maryland 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?

$60.26

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $52.48 to $81.28.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $54 to $363Professionalmedian $58 · 10th to 90th $41 to $363
$50$100$200$500facility $107professional $58

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
$53.70
Median
$107.15
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$37.15
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$60.26

Where Maryland 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.

Maryland· 46th of 51

$60.26

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.