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Blood Clotting Factor Test

New Jersey 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?

$25.12

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $69.18 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$15.14$13.80 to $20.42
FacilityA hospital or hospital-owned outpatient department$69.18$28.84 to $132

How much rates vary

Facilitymedian $69 · 10th to 90th $17 to $240Professionalmedian $15 · 10th to 90th $10 to $35
$10$100$1K$10Kfacility $69professional $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
$17.78
Median
$69.18
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$34.67
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$162.18
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$39.81
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.38
Typical High
$50.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$20.42
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$17.78
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$25.70

Where New Jersey 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.

New Jersey· 22nd of 51

$25.12

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.