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Blood Clotting Factor Test

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $44.67 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$16.22$14.79 to $22.39
FacilityA hospital or hospital-owned outpatient department$44.67$24.55 to $115

How much rates vary

Facilitymedian $45 · 10th to 90th $16 to $234Professionalmedian $16 · 10th to 90th $13 to $37
$10$100$1K$10Kfacility $45professional $16

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
$16.22
Median
$43.65
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.22
Typical High
$37.15
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$190.55
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$41.69
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$21.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.05
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.48
Typical High
$27.54

Where New Jersey 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.

New Jersey· 22nd 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.