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Blood Clotting Factor Test

Wisconsin 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?

$25.12

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $93.33 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 12 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$21.38$13.80 to $52.48
FacilityA hospital or hospital-owned outpatient department$93.33$38.90 to $257

How much rates vary

Facilitymedian $93 · 10th to 90th $17 to $282Professionalmedian $21 · 10th to 90th $9 to $98
$5.0$10.0$20.0$50.0$100.0$200.0facility $93professional $21

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
$39.81
Median
$218.78
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.38
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$56.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$34.67
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.72
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$26.92
Typical High
$64.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$21.38
Typical High
$27.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$50.12
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$22.91
Quartz
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$158.49
Quartz
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$44.67
Security Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$54.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.72
Typical High
$29.51

Where Wisconsin 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.

Wisconsin $25.12 · 23rd 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.