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Blood Clotting Factor Test

Maine rates for HCPCS 85245

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 to find the cause of prolonged or abnormal bleeding.

Rates data updated July 2026.

How much does Blood Clotting Factor Test cost?

$22.91

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $57.54 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 6 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$22.91$18.62 to $22.91
FacilityA hospital or hospital-owned outpatient department$57.54$22.91 to $105

How much rates vary

Facilitymedian $58 · 10th to 90th $23 to $214Professionalmedian $23 · 10th to 90th $13 to $30
$10$20$50$100$200$500facility $58professional $23

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
$22.91
Median
$57.54
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.62
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$213.80
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$27.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$46.77

Where Maine sits

The same service costs 4.4 times more in Nebraska 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.

Maine· 39th of 51

$22.91

NE $83.18MD $19.05

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.