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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

North Carolina 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?

$70.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $74.13 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$58.88$53.70 to $89.13
FacilityA hospital or hospital-owned outpatient department$74.13$63.10 to $224

How much rates vary

Facilitymedian $74 · 10th to 90th $59 to $355Professionalmedian $59 · 10th to 90th $39 to $126
$20$50$100$200$500facility $74professional $59

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
$58.88
Median
$74.13
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$74.13
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$162.18
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$97.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$114.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$107.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$549.54

Where North Carolina 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.

North Carolina· 39th of 51

$70.79

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.