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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

New Jersey 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?

$63.10

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $191 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$54.95$45.71 to $61.66
FacilityA hospital or hospital-owned outpatient department$191$93.33 to $380

How much rates vary

Facilitymedian $191 · 10th to 90th $62 to $661Professionalmedian $55 · 10th to 90th $46 to $85
$10$100$1K$10Kfacility $191professional $55

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
$61.66
Median
$190.55
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$83.18
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$275.42
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$138.04
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$74.13
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$83.18

Where New Jersey 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.

New Jersey· 45th of 51

$63.10

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.