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Blood Clotting Factor Test

New Jersey 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?

$17.78

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $64.57 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$16.22$14.79 to $19.50
FacilityA hospital or hospital-owned outpatient department$64.57$22.39 to $195

How much rates vary

Facilitymedian $65 · 10th to 90th $18 to $2,344Professionalmedian $16 · 10th to 90th $11 to $26
$10$50$200$1Kfacility $65professional $16

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
$17.78
Median
$20.42
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$17.78
Typical High
$25.70
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$8.91
Typical High
$13.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$3.55
Typical High
$5.25
Ambetter
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$288.40
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$50.12
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$22.39
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.48
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$22.91
Typical High
$169.82
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$13.80
Typical High
$19.50

Where New Jersey 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.

New Jersey· 46th of 51

$17.78

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.