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Blood Clotting Factor Test

Tennessee 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?

$16.22

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $35.48 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$10.00 to $21.88
FacilityA hospital or hospital-owned outpatient department$35.48$17.78 to $42.66

How much rates vary

Facilitymedian $35 · 10th to 90th $14 to $68Professionalmedian $15 · 10th to 90th $9 to $26
$10$20$50$100facility $35professional $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
$14.13
Median
$15.14
Typical High
$29.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.14
Typical High
$29.51
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.08
Median
$7.59
Typical High
$11.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.88
Median
$3.02
Typical High
$4.57
Ambetter
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$21.38
Typical High
$25.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$38.90
Typical High
$74.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$12.59
Typical High
$27.54
United
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$11.48
Typical High
$23.99

Where Tennessee 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.

Tennessee· 38th of 51

$16.22

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.