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Clotting-regulation Protein Blood Test

Missouri 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?

$20.42

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $23.99 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 7 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$13.49$10.72 to $26.92
FacilityA hospital or hospital-owned outpatient department$23.99$16.60 to $72.44

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $191Professionalmedian $13 · 10th to 90th $7 to $44
$10$20$50$100$200facility $24professional $13

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
$12.88
Median
$23.99
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$45.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.30
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$24.55
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.23
Typical High
$18.62

Where Missouri 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.

Missouri· 19th of 51

$20.42

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.