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Blood Clotting Factor Test

South 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?

$44.67

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $74.13 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$14.45$13.80 to $18.62
FacilityA hospital or hospital-owned outpatient department$74.13$43.65 to $204

How much rates vary

Facilitymedian $74 · 10th to 90th $17 to $324Professionalmedian $14 · 10th to 90th $14 to $45
$10$20$50$100$200facility $74professional $14

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
$17.38
Median
$77.62
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.45
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$25.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$17.78
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$25.12

Where South 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.

South Carolina· 4th of 51

$44.67

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.