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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $97.72 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 8 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$74.13$63.10 to $110
FacilityA hospital or hospital-owned outpatient department$97.72$74.13 to $148

How much rates vary

Facilitymedian $98 · 10th to 90th $74 to $219Professionalmedian $74 · 10th to 90th $48 to $363
$50$100$200$500facility $98professional $74

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
$97.72
Median
$154.88
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$158.49
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$102.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$102.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$147.91
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$138.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$87.10

Where Oregon 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.

Oregon· 23rd 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.