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Blood Clotting Factor Test

Iowa 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?

$35.48

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $60.26 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$26.92$17.78 to $57.54
FacilityA hospital or hospital-owned outpatient department$60.26$34.67 to $170

How much rates vary

Facilitymedian $60 · 10th to 90th $23 to $186Professionalmedian $27 · 10th to 90th $15 to $151
$20$50$100$200facility $60professional $27

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
$60.26
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.92
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$43.65
Typical High
$54.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$27.54
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$30.20
Midlands
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$57.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$22.91

Where Iowa 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.

Iowa· 17th of 51

$35.48

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.