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Blood Clotting Factor Activity Test

Maine 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?

$19.50

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $31.62 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 6 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$15.85 to $19.50
FacilityA hospital or hospital-owned outpatient department$31.62$19.50 to $87.10

How much rates vary

Facilitymedian $32 · 10th to 90th $19 to $182Professionalmedian $19 · 10th to 90th $10 to $26
$10$20$50$100$200facility $32professional $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
$19.50
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$181.97
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$23.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$39.81

Where Maine 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.

Maine· 32nd of 51

$19.50

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.