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Clotting-regulation Protein Blood Test

Maryland 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?

$12.02

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $126 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 6 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$12.02$10.47 to $13.18
FacilityA hospital or hospital-owned outpatient department$126$15.85 to $170

How much rates vary

Facilitymedian $126 · 10th to 90th $10 to $182Professionalmedian $12 · 10th to 90th $9 to $29
$5.0$10.0$20.0$50.0$100.0$200.0facility $126professional $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
$10.23
Median
$125.89
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.96
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.55
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.80
Typical High
$33.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.61
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$13.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.55
Typical High
$20.89

Where Maryland sits

The same service costs 7.4 times more in West Virginia than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $12.02 · 51st of 51
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.