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Blood Clotting Factor Test

Kentucky 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?

$20.89

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $79.43 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$11.22 to $21.88
FacilityA hospital or hospital-owned outpatient department$79.43$24.55 to $129

How much rates vary

Facilitymedian $79 · 10th to 90th $19 to $195Professionalmedian $18 · 10th to 90th $11 to $32
$10$20$50$100$200$500facility $79professional $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
$83.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.05
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$22.91
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$31.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$43.65
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$22.91
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.05
Typical High
$32.36

Where Kentucky 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.

Kentucky· 48th of 51

$20.89

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.