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Blood Clotting Factor Test

Vermont 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?

$39.81

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $269 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$39.81$39.81 to $39.81
FacilityA hospital or hospital-owned outpatient department$269$178 to $302

How much rates vary

Facilitymedian $269 · 10th to 90th $23 to $389Professionalmedian $40 · 10th to 90th $19 to $40
$10$20$50$100$200facility $269professional $40

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.11
Typical High
$39.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$28.18
Typical High
$61.66

Where Vermont 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.

Vermont· 10th of 51

$39.81

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.