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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Tennessee 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?

$66.07

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $129 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$57.54$54.95 to $81.28
FacilityA hospital or hospital-owned outpatient department$129$74.13 to $263

How much rates vary

Facilitymedian $129 · 10th to 90th $58 to $316Professionalmedian $58 · 10th to 90th $44 to $98
$20$50$100$200$500facility $129professional $58

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
$57.54
Median
$128.82
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$151.36
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$102.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$83.18

Where Tennessee 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.

Tennessee· 42nd of 51

$66.07

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.