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Blood Clotting Factor Test

Virginia 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?

$18.20

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $43.65 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 8 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$13.80$13.49 to $16.98
FacilityA hospital or hospital-owned outpatient department$43.65$20.42 to $112

How much rates vary

Facilitymedian $44 · 10th to 90th $18 to $200Professionalmedian $14 · 10th to 90th $9 to $42
$10$100$1K$10Kfacility $44professional $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
$21.88
Median
$85.11
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$13.80
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$41.69
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$26.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$30.20
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.22
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.30
Typical High
$38.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$30.20
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$18.62

Where Virginia 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.

Virginia· 40th of 51

$18.20

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.