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Blood Clotting Factor Test

Illinois rates for HCPCS 85250

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?

$20.89

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $38.90 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 7 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$15.49$13.18 to $22.91
FacilityA hospital or hospital-owned outpatient department$38.90$23.99 to $107

How much rates vary

Facilitymedian $39 · 10th to 90th $19 to $219Professionalmedian $15 · 10th to 90th $3 to $39
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $39professional $15

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
$18.62
Median
$38.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.98
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$13.18
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$44.67
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$21.88
Typical High
$34.67
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$37.15
Typical High
$251.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.75
Typical High
$19.05

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $20.89 · 29th of 51
AK $42.66DC $14.13

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.