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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 July 2026.

How much does Blood Clotting Factor Test cost?

$36.31

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $36.31 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$38.02$17.78 to $52.48
FacilityA hospital or hospital-owned outpatient department$36.31$36.31 to $117

How much rates vary

Facilitymedian $36 · 10th to 90th $22 to $117Professionalmedian $38 · 10th to 90th $13 to $85
$10$20$50$100facility $36professional $38

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
$21.88
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$85.11
Avera
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$36.31
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$29.51
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$26.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$16.98
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05

Where South Dakota 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.

South Dakota· 2nd of 51

$36.31

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.