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Clotting-regulation Protein Blood Test

Maine 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?

$16.60

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $50.12 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$13.80$10.47 to $14.13
FacilityA hospital or hospital-owned outpatient department$50.12$13.80 to $72.44

How much rates vary

Facilitymedian $50 · 10th to 90th $14 to $120Professionalmedian $14 · 10th to 90th $8 to $17
$10$20$50$100facility $50professional $14

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
$35.48
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$120.23
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.94
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$19.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$16.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$58.88
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.80
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$26.30

Where Maine 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.

Maine· 33rd of 51

$16.60

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.