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Blood Clotting Factor Activity Test

Kentucky 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?

$15.85

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $23.99 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 5 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$15.49$8.51 to $17.78
FacilityA hospital or hospital-owned outpatient department$23.99$17.78 to $46.77

How much rates vary

Facilitymedian $24 · 10th to 90th $16 to $427Professionalmedian $15 · 10th to 90th $9 to $28
$10$20$50$100$200facility $24professional $15

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
$15.85
Median
$28.84
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$26.92
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$26.92
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$36.31
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$16.22
Typical High
$26.92

Where Kentucky 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.

Kentucky· 47th of 51

$15.85

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.