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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

Virginia 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?

$74.13

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $105 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$57.54$37.15 to $67.61
FacilityA hospital or hospital-owned outpatient department$105$74.13 to $182

How much rates vary

Facilitymedian $105 · 10th to 90th $62 to $339Professionalmedian $58 · 10th to 90th $30 to $138
$0.1$1$10$100$1K$10Kfacility $105professional $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
$61.66
Median
$151.36
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$123.03
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$181.97
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$112.20
Typical High
$154.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$95.50

Where Virginia 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.

Virginia· 36th of 51

$74.13

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.