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Blood Clotting Factor Test

Massachusetts 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?

$24.55

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $50.12 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 9 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$17.78$16.98 to $23.99
FacilityA hospital or hospital-owned outpatient department$50.12$28.84 to $89.13

How much rates vary

Facilitymedian $50 · 10th to 90th $18 to $234Professionalmedian $18 · 10th to 90th $16 to $46
$10$20$50$100$200$500$1Kfacility $50professional $18

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
$17.78
Median
$57.54
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.98
Typical High
$79.43
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$158.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$46.77
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$141.25
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$54.95
Health New England
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$165.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$158.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$45.71

Where Massachusetts 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.

Massachusetts· 27th of 51

$24.55

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.