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Blood Clotting Factor Test

North Carolina 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 October 2026.

How much does Blood Clotting Factor Test cost?

$18.20

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $27.54 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.20$15.49 to $22.91
FacilityA hospital or hospital-owned outpatient department$27.54$18.20 to $52.48

How much rates vary

Facilitymedian $28 · 10th to 90th $18 to $98Professionalmedian $18 · 10th to 90th $12 to $35
$10$20$50$100facility $28professional $18

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
$18.20
Median
$21.88
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$25.70
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$9.12
Median
$9.12
Typical High
$10.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.63
Median
$3.63
Typical High
$3.98
Ambetter
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$15.85
Typical High
$32.36
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$97.72
Typical High
$97.72
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$26.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$50.12
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.49
Typical High
$37.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$44.67
Typical High
$83.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$18.20
Typical High
$47.86
Medcost
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$33.11
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$15.85
Typical High
$31.62

Where North Carolina sits

The same service costs 6.6 times more in Alaska 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.

North Carolina· 45th of 51

$18.20

AK $63.10AL $9.55

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.