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Blood Clotting Factor Test

South Dakota 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 October 2026.

How much does Blood Clotting Factor Test cost?

$20.42

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $27.54 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$12.59 to $36.31
FacilityA hospital or hospital-owned outpatient department$27.54$20.42 to $34.67

How much rates vary

Facilitymedian $28 · 10th to 90th $17 to $158Professionalmedian $20 · 10th to 90th $12 to $43
$10$20$50$100$200facility $28professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$20.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$16.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$34.67
Typical High
$42.66
Medica
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$20.42
Typical High
$199.53
Medica
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$16.22
Typical High
$21.38
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$40.74
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$12.59
Typical High
$21.38
Wellmark
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78

Where South Dakota sits

The same service costs 7.4 times more in Kansas than in Alabama. 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 Dakota· 23rd of 51

$20.42

KS $56.23AL $7.59

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.