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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 July 2026.

How much does Blood Clotting Factor Test cost?

$29.51

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $19.50 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 6 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$19.50$17.38 to $26.92
FacilityA hospital or hospital-owned outpatient department$79.43$34.67 to $138

How much rates vary

Facilitymedian $79 · 10th to 90th $20 to $251Professionalmedian $19 · 10th to 90th $11 to $45
$10$100$1K$10Kfacility $79professional $19

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
$20.42
Median
$89.13
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$44.67
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$213.80
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.39
Typical High
$64.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$25.70
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.42
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$32.36

Where New Jersey 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.

New Jersey· 29th of 51

$29.51

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.