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Blood Clotting Factor Test

South Dakota 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?

$26.30

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $35.48 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.30$16.22 to $46.77
FacilityA hospital or hospital-owned outpatient department$35.48$25.70 to $43.65

How much rates vary

Facilitymedian $35 · 10th to 90th $22 to $209Professionalmedian $26 · 10th to 90th $15 to $55
$10$50$200$1Kfacility $35professional $26

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$21.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$43.65
Typical High
$54.95
Medica
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$25.70
Typical High
$213.80
Medica
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$20.42
Typical High
$27.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$54.95
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$16.22
Typical High
$27.54
Wellmark
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$22.91

Where South Dakota 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.

South Dakota· 17th of 51

$26.30

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.