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Blood Clotting Factor Test

Rhode Island 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?

$22.91

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $75.86 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 4 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$18.62$13.49 to $18.62
FacilityA hospital or hospital-owned outpatient department$75.86$35.48 to $145

How much rates vary

Facilitymedian $76 · 10th to 90th $21 to $162Professionalmedian $19 · 10th to 90th $11 to $33
$10.0$20.0$50.0$100.0facility $76professional $19

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
$53.70
Median
$114.82
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$42.66
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.95
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$23.44
Typical High
$35.48

Where Rhode Island sits

The same service costs 3.0 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $22.91 · 32nd of 51
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.