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Blood Clotting Factor Test

South Dakota 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?

$21.88

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $21.88 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$21.88$13.18 to $38.90
FacilityA hospital or hospital-owned outpatient department$21.88$21.38 to $36.31

How much rates vary

Facilitymedian $22 · 10th to 90th $18 to $95Professionalmedian $22 · 10th to 90th $13 to $46
$10$20$50$100facility $22professional $22

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$36.31
Typical High
$45.71
Medica
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.38
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.98
Typical High
$26.30
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$44.67
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$13.18
Typical High
$22.91
Wellmark
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05

Where South Dakota 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.

South Dakota· 22nd of 51

$21.88

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.