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Fibrin-Stabilizing Factor (XIII) Solubility Screen

Kentucky rates for HCPCS 85291

Screens for a shortage of the clotting protein that stabilizes fibrin, the mesh holding a blood clot together, known as factor XIII. A clot formed from the blood sample is placed in a solution and watched: a clot that dissolves points to a deficiency, while a clot that holds together does not. The answer is yes-or-no rather than a measured level or activity figure.

Rates data updated July 2026.

How much does Fibrin-Stabilizing Factor (XIII) Solubility Screen cost?

$7.24

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $8.51 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 5 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$7.24$4.37 to $8.51
FacilityA hospital or hospital-owned outpatient department$8.51$7.41 to $16.98

How much rates vary

Facilitymedian $9 · 10th to 90th $7 to $22Professionalmedian $7 · 10th to 90th $4 to $13
$5$10$20$50facility $9professional $7

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
$7.41
Median
$7.41
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.41
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$9.12
Typical High
$9.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.96
Typical High
$12.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$16.98
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$9.12
Typical High
$9.12
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$7.41
Typical High
$12.30

Where Kentucky sits

The same service costs 2.6 times more in South Dakota than in Maryland. 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.

Kentucky· 49th of 51

$7.24

SD $17.38MD $6.76

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.