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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Nebraska 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?

$195

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $251 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$48.98$48.98 to $204
FacilityA hospital or hospital-owned outpatient department$251$162 to $479

How much rates vary

Facilitymedian $251 · 10th to 90th $87 to $562Professionalmedian $49 · 10th to 90th $44 to $490
$50$100$200$500facility $251professional $49

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
$107.15
Median
$251.19
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$165.96
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$69.18
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$204.17

Where Nebraska 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.

Nebraska· 3rd of 51

$195

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.