go back

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 July 2026.

How much does Clot Dissolving Time Test cost?

$17.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $30.20 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$16.60$15.85 to $17.78
FacilityA hospital or hospital-owned outpatient department$30.20$17.38 to $51.29

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $60Professionalmedian $17 · 10th to 90th $4 to $32
$5$10$20$50$100facility $30professional $17

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
$12.02
Median
$31.62
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$16.60
Typical High
$47.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$27.54
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$9.55
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$9.55
Typical High
$29.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$14.13
Typical High
$35.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$30.90
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.60
Typical High
$60.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$28.84
Typical High
$50.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$20.42
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.42
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.12
Typical High
$24.55

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$17.38

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.