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Blood Clotting Factor Test

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $33.11 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$22.39$16.60 to $31.62
FacilityA hospital or hospital-owned outpatient department$33.11$23.99 to $63.10

How much rates vary

Facilitymedian $33 · 10th to 90th $22 to $234Professionalmedian $22 · 10th to 90th $16 to $117
$10$100$1K$10K$100Kfacility $33professional $22

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
$24.55
Median
$63.10
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$61.66
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$25.70
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$25.12
Typical High
$54.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.12
Typical High
$54.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$102.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$25.12

Where Montana 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.

Montana· 26th 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.