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Blood Clotting Factor Activity Test

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $37.15 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 8 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$10.47 to $18.20
FacilityA hospital or hospital-owned outpatient department$37.15$20.42 to $56.23

How much rates vary

Facilitymedian $37 · 10th to 90th $17 to $63Professionalmedian $15 · 10th to 90th $10 to $35
$5$10$20$50$100$200facility $37professional $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
$18.20
Median
$46.77
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.39
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$23.99
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$37.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$74.13
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$23.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$19.50
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$8.13
Typical High
$26.92

Where Ohio 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.

Ohio· 33rd 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.