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Fibrin-Stabilizing Factor (XIII) Solubility Screen

Pennsylvania 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?

$8.51

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $21.38 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$7.41$7.24 to $8.51
FacilityA hospital or hospital-owned outpatient department$21.38$11.48 to $32.36

How much rates vary

Facilitymedian $21 · 10th to 90th $8 to $52Professionalmedian $7 · 10th to 90th $7 to $16
$5$10$20$50$100facility $21professional $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
$7.76
Median
$21.38
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$21.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$13.80
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$11.22
Typical High
$21.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.24
Typical High
$13.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$15.85
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$67.61
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$21.38
Typical High
$47.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.76
Typical High
$26.92
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$54.95
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$9.12
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.76
Typical High
$14.13

Where Pennsylvania 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.

Pennsylvania· 35th of 51

$8.51

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.