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Genetic Test For Factor V Leiden (Inherited Clotting Risk)

West 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?

$245

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $372 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$58.88$53.70 to $61.66
FacilityA hospital or hospital-owned outpatient department$372$245 to $589

How much rates vary

Facilitymedian $372 · 10th to 90th $89 to $759Professionalmedian $59 · 10th to 90th $49 to $62
$50$100$200$500$1Kfacility $372professional $59

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
$89.13
Median
$371.54
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$61.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$354.81
Typical High
$354.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$36.31
Typical High
$83.18

Where West 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.

West Virginia· 1st of 51

$245

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.