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Blood Clotting Factor Test

North Carolina 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 October 2026.

How much does Blood Clotting Factor Test cost?

$15.14

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $24.55 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$15.14$12.59 to $19.05
FacilityA hospital or hospital-owned outpatient department$24.55$15.14 to $41.69

How much rates vary

Facilitymedian $25 · 10th to 90th $15 to $71Professionalmedian $15 · 10th to 90th $10 to $29
$10$20$50facility $25professional $15

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$16.22
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$22.39
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$7.59
Typical High
$8.32
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$3.02
Typical High
$3.31
Ambetter
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.59
Typical High
$26.92
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$58.88
Typical High
$70.79
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$12.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$41.69
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$12.88
Typical High
$30.90
Medcost
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$37.15
Typical High
$109.65
Medcost
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$15.14
Typical High
$39.81
Medcost
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$28.84
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$13.18
Typical High
$25.70

Where North Carolina sits

The same service costs 5.5 times more in Kansas 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.

North Carolina· 43rd of 51

$15.14

KS $43.65AL $7.94

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.