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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

South Dakota 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?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $141 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$174$74.13 to $214
FacilityA hospital or hospital-owned outpatient department$141$83.18 to $141

How much rates vary

Facilitymedian $141 · 10th to 90th $74 to $219Professionalmedian $174 · 10th to 90th $58 to $219
$50$100$200facility $141professional $174

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
$51.29
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$213.80
Typical High
$218.78
Avera
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$109.65
Avera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$363.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$97.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where South Dakota 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.

South Dakota· 4th of 51

$174

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.