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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 July 2026.

How much does Blood Clotting Factor Test cost?

$41.69

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $91.20 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$20.42$18.20 to $29.51
FacilityA hospital or hospital-owned outpatient department$91.20$38.02 to $214

How much rates vary

Facilitymedian $91 · 10th to 90th $20 to $295Professionalmedian $20 · 10th to 90th $16 to $66
$10$20$50$100$200facility $91professional $20

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
$19.95
Median
$97.72
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.89
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$44.67
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.85
Typical High
$35.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$44.67
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$44.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$31.62
Typical High
$34.67
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$30.20
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$32.36
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88

Where North Carolina 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.

North Carolina· 6th of 51

$41.69

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.