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Blood Clotting Factor Test

North Carolina 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?

$34.67

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $81.28 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$16.60$14.45 to $22.91
FacilityA hospital or hospital-owned outpatient department$81.28$34.67 to $200

How much rates vary

Facilitymedian $81 · 10th to 90th $15 to $275Professionalmedian $17 · 10th to 90th $14 to $42
$10$20$50$100$200facility $81professional $17

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
$15.85
Median
$89.13
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$34.67
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$34.67
Typical High
$95.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$34.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$33.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$23.44
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$25.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where North Carolina 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.

North Carolina· 8th of 51

$34.67

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.