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Blood Clotting Factor Test

Washington, DC rates for HCPCS 85240

This blood test measures the level of a specific protein the body uses to help form blood clots. It is used to help investigate a bleeding disorder or the cause of prolonged or abnormal bleeding.

Rates data updated July 2026.

How much does Blood Clotting Factor Test cost?

$32.36

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $110 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 5 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$13.49$13.49 to $13.49
FacilityA hospital or hospital-owned outpatient department$110$32.36 to $355

How much rates vary

Facilitymedian $110 · 10th to 90th $13 to $447Professionalmedian $13 · 10th to 90th $13 to $62
$10.0$20.0$50.0$100.0$200.0$500.0facility $110professional $13

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
$13.49
Median
$109.65
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$30.20

Where Washington, DC sits

The same service costs 3.0 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $32.36 · 11th of 51
SD $48.98MD $16.60

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.