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Blood Clotting Factor Activity Test

Rhode Island 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?

$22.39

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $57.54 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 4 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$19.95$14.45 to $19.95
FacilityA hospital or hospital-owned outpatient department$57.54$26.30 to $112

How much rates vary

Facilitymedian $58 · 10th to 90th $23 to $126Professionalmedian $20 · 10th to 90th $11 to $33
$10$20$50$100facility $58professional $20

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
$57.54
Median
$112.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$23.44
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$45.71
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.22
Typical High
$38.02

Where Rhode Island 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.

Rhode Island· 24th of 51

$22.39

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.