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Clot Dissolving Time Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $17.38 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$16.22$13.49 to $16.22
FacilityA hospital or hospital-owned outpatient department$17.38$12.88 to $23.99

How much rates vary

Facilitymedian $17 · 10th to 90th $7 to $68Professionalmedian $16 · 10th to 90th $4 to $25
$5$10$20$50$100facility $17professional $16

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
$7.08
Median
$17.38
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.22
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$34.67
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$12.30
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$39.81
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$5.62
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$13.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$14.79
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$7.76
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$6.31
Typical High
$12.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$100.00

Where North Carolina 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.

North Carolina· 38th 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.