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Clot Dissolving Time Test

Missouri 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?

$19.95

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $26.30 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 6 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$15.49$8.51 to $19.95
FacilityA hospital or hospital-owned outpatient department$26.30$20.42 to $35.48

How much rates vary

Facilitymedian $26 · 10th to 90th $17 to $47Professionalmedian $15 · 10th to 90th $6 to $28
$5$10$20$50$100facility $26professional $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
$17.38
Median
$33.88
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$8.91
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$30.90
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$9.77
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$22.91
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$10.23
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$9.77
Typical High
$23.99

Where Missouri 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.

Missouri· 21st of 51

$19.95

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.