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Blood Clotting Factor Test

Illinois 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?

$30.90

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $53.70 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 6 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$14.79$13.49 to $18.20
FacilityA hospital or hospital-owned outpatient department$53.70$29.51 to $174

How much rates vary

Facilitymedian $54 · 10th to 90th $18 to $234Professionalmedian $15 · 10th to 90th $3 to $36
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $54professional $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
$18.20
Median
$67.61
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.22
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$47.86
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$12.30
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$41.69
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$20.42
Typical High
$32.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$34.67
Typical High
$295.12
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.02
Typical High
$23.99

Where Illinois 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.

Illinois $30.90 · 14th 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.