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Blood Clotting Factor Test

South Dakota 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?

$43.65

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $38.02 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 7 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$38.02$17.78 to $54.95
FacilityA hospital or hospital-owned outpatient department$91.20$43.65 to $95.50

How much rates vary

Facilitymedian $91 · 10th to 90th $37 to $95Professionalmedian $38 · 10th to 90th $15 to $63
$10$20$50$100$200facility $91professional $38

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
$91.20
Median
$91.20
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$21.38
Avera
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$37.15
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.22
Typical High
$32.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$54.95
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$20.42
Typical High
$32.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91

Where South Dakota 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.

South Dakota· 4th of 51

$43.65

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.