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Clotting-regulation Protein Blood Test

Iowa rates for HCPCS 85303

This is a blood test that checks one of the body's natural proteins that help keep blood clotting in balance. It's typically ordered as part of a work-up for someone who has had an unexplained or recurrent blood clot, to see whether a deficiency in this protein might be contributing. It's usually run alongside related tests looking at other clot-regulating proteins.

Rates data updated July 2026.

How much does Clotting-regulation Protein Blood Test cost?

$26.30

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $32.36 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$24.55$11.48 to $89.13
FacilityA hospital or hospital-owned outpatient department$32.36$20.89 to $102

How much rates vary

Facilitymedian $32 · 10th to 90th $14 to $214Professionalmedian $25 · 10th to 90th $11 to $98
$10$20$50$100$200facility $32professional $25

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
$13.80
Median
$32.36
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$24.55
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$26.92
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.12
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$69.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$36.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$18.20
Midlands
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.96
Typical High
$36.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$13.80

Where Iowa sits

The same service costs 7.4 times more in West Virginia 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.

Iowa· 9th of 51

$26.30

WV $89.13MD $12.02

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.