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Blood Clotting Factor Activity Test

Massachusetts 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?

$23.44

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $46.77 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 9 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$19.50$18.62 to $29.51
FacilityA hospital or hospital-owned outpatient department$46.77$27.54 to $60.26

How much rates vary

Facilitymedian $47 · 10th to 90th $19 to $115Professionalmedian $19 · 10th to 90th $16 to $58
$10$50$200$1Kfacility $47professional $19

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
$19.50
Median
$44.67
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.62
Typical High
$87.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$158.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.50
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$30.90
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$22.39
Typical High
$50.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$151.36
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$58.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$42.66
Typical High
$91.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$158.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.50
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$17.38
Typical High
$48.98

Where Massachusetts 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.

Massachusetts· 12th of 51

$23.44

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.