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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Michigan 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?

$69.18

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $72.44 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 7 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$53.70 to $69.18
FacilityA hospital or hospital-owned outpatient department$72.44$69.18 to $107

How much rates vary

Facilitymedian $72 · 10th to 90th $69 to $129Professionalmedian $60 · 10th to 90th $46 to $87
$50$100$200facility $72professional $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
$69.18
Median
$72.44
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$75.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$102.33
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$128.82
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$97.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$114.82

Where Michigan 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.

Michigan· 40th of 51

$69.18

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.