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Clot Dissolving Time Test

Massachusetts 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?

$20.42

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $32.36 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$20.42$8.13 to $20.42
FacilityA hospital or hospital-owned outpatient department$32.36$17.38 to $50.12

How much rates vary

Facilitymedian $32 · 10th to 90th $7 to $60Professionalmedian $20 · 10th to 90th $4 to $37
$10$100$1Kfacility $32professional $20

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
$3.72
Median
$28.18
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$19.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$17.78
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$11.75
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$21.88
Typical High
$53.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$34.67
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$34.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$43.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$17.78
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$14.13
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$12.30
Typical High
$28.18

Where Massachusetts 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.

Massachusetts· 13th of 51

$20.42

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.