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Blood Clotting Factor Activity Test

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $44.67 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$15.85$15.14 to $18.20
FacilityA hospital or hospital-owned outpatient department$44.67$25.12 to $66.07

How much rates vary

Facilitymedian $45 · 10th to 90th $17 to $112Professionalmedian $16 · 10th to 90th $15 to $34
$10$20$50$100$200$500facility $45professional $16

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
$16.60
Median
$45.71
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$38.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$29.51
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$24.55
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$19.50
Typical High
$28.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$33.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$134.90
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$14.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$45.71
Typical High
$112.20
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$57.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$138.04
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.59
Typical High
$33.11

Where Pennsylvania 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.

Pennsylvania· 13th 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.