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Blood Clotting Factor Test

Nebraska 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 October 2026.

How much does Blood Clotting Factor Test cost?

$20.42

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $87.10 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$13.80 to $22.91
FacilityA hospital or hospital-owned outpatient department$87.10$33.88 to $129

How much rates vary

Facilitymedian $87 · 10th to 90th $15 to $214Professionalmedian $14 · 10th to 90th $13 to $47
$10$20$50$100$200facility $87professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$51.29
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.14
Typical High
$20.89
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$114.82
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$28.18
Typical High
$54.95
Medica
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$45.71
Typical High
$234.42
Medica
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.80
Typical High
$79.43
Midlands
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
Midlands
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$9.55
Typical High
$13.80
United
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.80
Typical High
$45.71
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
90 · Outside lab
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where Nebraska sits

The same service costs 6.6 times more in Alaska than in Alabama. 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.

Nebraska· 34th of 51

$20.42

AK $63.10AL $9.55

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.