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Blood Clotting Factor Test

West 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?

$45.71

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $95.50 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 5 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$13.49 to $14.79
FacilityA hospital or hospital-owned outpatient department$95.50$45.71 to $331

How much rates vary

Facilitymedian $95 · 10th to 90th $27 to $372Professionalmedian $14 · 10th to 90th $10 to $17
$5$10$20$50$100$200$500facility $95professional $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
$26.92
Median
$95.50
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$16.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.88
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$34.67
Typical High
$112.20
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$323.59
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$13.49

Where West 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.

West Virginia· 3rd of 51

$45.71

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.