go back

Blood Clotting Factor Test

Tennessee 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?

$15.85

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $33.88 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$10.47 to $22.91
FacilityA hospital or hospital-owned outpatient department$33.88$17.78 to $39.81

How much rates vary

Facilitymedian $34 · 10th to 90th $13 to $65Professionalmedian $14 · 10th to 90th $8 to $25
$10$20$50$100facility $34professional $14

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$14.13
Typical High
$27.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$14.13
Typical High
$27.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.76
Median
$7.08
Typical High
$10.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.69
Median
$2.82
Typical High
$4.27
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$46.77
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$19.95
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$37.15
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$11.75
Typical High
$25.70
United
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$12.30
Typical High
$23.99

Where Tennessee 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.

Tennessee· 37th of 51

$15.85

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.