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Blood Clotting Factor Test

Massachusetts 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?

$22.91

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $46.77 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 9 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$19.05$18.20 to $26.30
FacilityA hospital or hospital-owned outpatient department$46.77$27.54 to $81.28

How much rates vary

Facilitymedian $47 · 10th to 90th $19 to $174Professionalmedian $19 · 10th to 90th $16 to $58
$10$20$50$100$200facility $47professional $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
$19.05
Median
$54.95
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$85.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$30.20
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$21.88
Typical High
$50.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$151.36
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$32.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$57.54
Health New England
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$83.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.98
Typical High
$48.98

Where Massachusetts sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Massachusetts· 19th of 51

$22.91

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.