go back

Blood Clotting Factor Test

Virginia 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?

$23.44

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $52.48 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 8 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$17.38$17.38 to $21.88
FacilityA hospital or hospital-owned outpatient department$52.48$24.55 to $138

How much rates vary

Facilitymedian $52 · 10th to 90th $23 to $186Professionalmedian $17 · 10th to 90th $11 to $54
$10$100$1K$10Kfacility $52professional $17

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
$26.92
Median
$63.10
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.78
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$17.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$56.23
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$33.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$38.90
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$21.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.18
Typical High
$47.86
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$22.91
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$23.99

Where Virginia 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.

Virginia· 39th of 51

$23.44

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.