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Blood Clotting Factor Test

Georgia 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?

$19.95

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $28.84 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$15.49$12.02 to $22.39
FacilityA hospital or hospital-owned outpatient department$28.84$20.42 to $66.07

How much rates vary

Facilitymedian $29 · 10th to 90th $16 to $282Professionalmedian $15 · 10th to 90th $9 to $39
$10.0$50.0$200.0$1.0Kfacility $29professional $15

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
$16.60
Median
$33.88
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.18
Typical High
$36.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$38.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$66.07
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.22
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$25.12

Where Georgia 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.

Georgia $19.95 · 38th 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.