go back

Clotting-regulation Protein Blood Test

Kentucky 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?

$12.59

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $70.79 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$11.75$9.77 to $12.59
FacilityA hospital or hospital-owned outpatient department$70.79$17.38 to $240

How much rates vary

Facilitymedian $71 · 10th to 90th $11 to $269Professionalmedian $12 · 10th to 90th $7 to $19
$10$20$50$100$200$500facility $71professional $12

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
$11.22
Median
$87.10
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$19.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$19.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$26.30
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.80
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.48
Typical High
$19.50

Where Kentucky 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.

Kentucky· 45th of 51

$12.59

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.