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Blood Clotting Factor Test

Connecticut rates for HCPCS 85246

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 the cause of prolonged or abnormal bleeding.

Rates data updated July 2026.

How much does Blood Clotting Factor Test cost?

$22.91

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $43.65 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 6 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$20.89$20.42 to $21.88
FacilityA hospital or hospital-owned outpatient department$43.65$30.90 to $64.57

How much rates vary

Facilitymedian $44 · 10th to 90th $23 to $81Professionalmedian $21 · 10th to 90th $11 to $28
$10$20$50$100facility $44professional $21

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
$22.91
Median
$46.77
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$20.89
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$36.31
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$37.15
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.30
Typical High
$35.48
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$33.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$19.95
Typical High
$39.81

Where Connecticut sits

The same service costs 6.0 times more in West Virginia 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.

Connecticut· 45th of 51

$22.91

WV $115MD $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.