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Blood Clotting Factor Test

West Virginia 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?

$21.88

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.20 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 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$18.20$17.38 to $18.62
FacilityA hospital or hospital-owned outpatient department$57.54$34.67 to $200

How much rates vary

Facilitymedian $58 · 10th to 90th $19 to $200Professionalmedian $18 · 10th to 90th $14 to $22
$10$20$50$100$200facility $58professional $18

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
$18.62
Median
$57.54
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$21.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$43.65
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$44.67
Typical High
$151.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$588.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$32.36

Where West Virginia 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.

West Virginia· 43rd of 51

$21.88

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.