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Clot Dissolving Time Test

New York 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?

$16.60

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $31.62 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 9 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$8.13$3.39 to $17.38
FacilityA hospital or hospital-owned outpatient department$31.62$20.42 to $46.77

How much rates vary

Facilitymedian $32 · 10th to 90th $9 to $56Professionalmedian $8 · 10th to 90th $3 to $29
$5$10$20$50$100facility $32professional $8

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
$10.72
Median
$32.36
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.13
Typical High
$29.51
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$20.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$44.67
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$12.30
Typical High
$97.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$20.42
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.30
Typical High
$39.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.24
Typical High
$21.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$38.02
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.59
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$20.42
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$11.22
Typical High
$38.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$17.38
Typical High
$23.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$16.22
Typical High
$23.44

Where New York 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.

New York· 30th of 51

$16.60

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.