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Clot Dissolving Time Test

Pennsylvania 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 October 2026.

How much does Clot Dissolving Time Test cost?

$16.60

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $24.55 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$9.12 to $17.38
FacilityA hospital or hospital-owned outpatient department$24.55$17.38 to $35.48

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $60Professionalmedian $17 · 10th to 90th $5 to $21
$10$100$1K$10Kfacility $25professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$16.60
Typical High
$60.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$16.60
Typical High
$17.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$8.32
Typical High
$8.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$3.31
Typical High
$3.47
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$33.88
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$15.85
Typical High
$17.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$27.54
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$9.12
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$9.55
Typical High
$29.51
Geisinger
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Geisinger
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$6.61
Typical High
$30.90
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$16.60
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$17.38
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.32
Median
$8.32
Typical High
$8.71
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.31
Median
$3.31
Typical High
$3.47
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$33.11
Typical High
$50.12
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$11.22
Typical High
$24.55

Where Pennsylvania sits

The same service costs 7.6 times more in Alaska than in Kentucky. 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.

Pennsylvania· 20th of 51

$16.60

AK $45.71KY $6.03

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.