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Blood Clotting Factor Activity Test

Georgia rates for HCPCS 85280

A laboratory blood test that measures the activity level of one specific protein, called a clotting factor, involved in the blood's ability to form clots. It is used to help diagnose a bleeding disorder, identify which clotting factor is low or not working properly, or monitor treatment for a known factor deficiency. A blood sample is drawn and analyzed in a specialized coagulation laboratory.

Rates data updated July 2026.

How much does Blood Clotting Factor Activity Test cost?

$18.62

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $26.30 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$16.60$12.88 to $24.55
FacilityA hospital or hospital-owned outpatient department$26.30$19.95 to $33.11

How much rates vary

Facilitymedian $26 · 10th to 90th $15 to $54Professionalmedian $17 · 10th to 90th $10 to $43
$10$20$50$100$200facility $26professional $17

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
$15.49
Median
$30.90
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$42.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$25.70
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.13
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$27.54
Typical High
$72.44
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$26.92

Where Georgia sits

The same service costs 2.6 times more in South Dakota 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.

Georgia· 36th of 51

$18.62

SD $37.15DC $14.45

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.