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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Montana 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?

$110

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $97.72 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 6 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$97.72$83.18 to $263
FacilityA hospital or hospital-owned outpatient department$138$95.50 to $224

How much rates vary

Facilitymedian $138 · 10th to 90th $91 to $417Professionalmedian $98 · 10th to 90th $63 to $490
$100$1K$10K$100Kfacility $138professional $98

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
$91.20
Median
$165.96
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$263.03
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$257.04
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$117.49
United
Setting
Facility
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 Montana 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.

Montana· 9th of 51

$110

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.