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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

New Mexico 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?

$81.28

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $151 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 5 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 $81.28
FacilityA hospital or hospital-owned outpatient department$151$110 to $447

How much rates vary

Facilitymedian $151 · 10th to 90th $87 to $676Professionalmedian $60 · 10th to 90th $48 to $93
$100$1K$10K$100Kfacility $151professional $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
$87.10
Median
$112.20
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$478.63
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$83.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$95.50
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$66.07

Where New Mexico 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 Mexico· 27th of 51

$81.28

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.