go back

Blood Clotting Factor Test

Tennessee 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?

$20.42

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $81.28 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$18.20$17.38 to $20.89
FacilityA hospital or hospital-owned outpatient department$81.28$28.84 to $209

How much rates vary

Facilitymedian $81 · 10th to 90th $18 to $245Professionalmedian $18 · 10th to 90th $17 to $32
$5$10$20$50$100$200facility $81professional $18

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
$18.20
Median
$83.18
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.78
Typical High
$26.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$48.98
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$17.78
Typical High
$35.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$22.91
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.85
Typical High
$32.36

Where Tennessee 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.

Tennessee· 50th of 51

$20.42

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.