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Clot Dissolving Time Test

Kentucky rates for HCPCS 85175

A laboratory test in which a clot is formed from a diluted whole blood sample and timed to see how long it takes to break apart. A clot that dissolves unusually fast points to an overactive clot-breakdown system, which can explain bleeding that has no other obvious cause. It is a timed observation rather than a measurement of any single clotting factor.

Rates data updated July 2026.

How much does Clot Dissolving Time Test cost?

$16.22

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $18.20 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$14.79$3.80 to $16.98
FacilityA hospital or hospital-owned outpatient department$18.20$16.60 to $43.65

How much rates vary

Facilitymedian $18 · 10th to 90th $16 to $49Professionalmedian $15 · 10th to 90th $4 to $20
$5$10$20$50$100facility $18professional $15

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
$16.22
Median
$16.60
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.60
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$8.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$28.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$20.42
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.31
Typical High
$20.42

Where Kentucky sits

The same service costs 5.5 times more in North Dakota than in Connecticut. 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.

Kentucky· 35th of 51

$16.22

ND $33.88CT $6.17

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.