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Blood Clotting Factor Test

Illinois 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?

$38.02

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $58.88 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 7 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$15.85 to $24.55
FacilityA hospital or hospital-owned outpatient department$58.88$35.48 to $178

How much rates vary

Facilitymedian $59 · 10th to 90th $23 to $282Professionalmedian $18 · 10th to 90th $3 to $50
$5$10$20$50$100$200$500facility $59professional $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
$23.44
Median
$60.26
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$52.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.90
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$15.85
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$26.92
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$275.42
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$22.91

Where Illinois 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.

Illinois· 16th of 51

$38.02

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.