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Blood Clotting Factor Test

Massachusetts 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?

$32.36

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $63.10 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 9 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$22.91$21.88 to $32.36
FacilityA hospital or hospital-owned outpatient department$63.10$38.90 to $117

How much rates vary

Facilitymedian $63 · 10th to 90th $23 to $257Professionalmedian $23 · 10th to 90th $19 to $66
$10$20$50$100$200$500facility $63professional $23

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
$69.18
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$21.88
Typical High
$102.33
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$213.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$26.30
Typical High
$58.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$181.97
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$38.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$69.18
Health New England
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$30.20
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$213.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$20.42
Typical High
$58.88

Where Massachusetts 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.

Massachusetts· 24th of 51

$32.36

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.