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Blood Clotting Factor Test

Kentucky 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?

$17.78

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $70.79 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$14.79$8.91 to $17.78
FacilityA hospital or hospital-owned outpatient department$70.79$21.88 to $245

How much rates vary

Facilitymedian $71 · 10th to 90th $15 to $513Professionalmedian $15 · 10th to 90th $9 to $25
$10$20$50$100$200$500facility $71professional $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
$14.79
Median
$169.82
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$18.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$25.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$33.88
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$15.14
Typical High
$25.12

Where Kentucky sits

The same service costs 3.0 times more in South Dakota than in Maryland. 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.

Kentucky· 42nd of 51

$17.78

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.