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Blood Clotting Factor Test

Georgia 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?

$23.99

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $32.36 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$19.95$15.14 to $33.88
FacilityA hospital or hospital-owned outpatient department$32.36$25.12 to $77.62

How much rates vary

Facilitymedian $32 · 10th to 90th $20 to $234Professionalmedian $20 · 10th to 90th $11 to $51
$10$20$50$100$200facility $32professional $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
$20.42
Median
$43.65
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.90
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$46.77
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$85.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$20.42
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$32.36

Where Georgia 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.

Georgia· 38th of 51

$23.99

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.