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Clotting-regulation Protein Blood Test

North Carolina 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 October 2026.

How much does Clotting-regulation Protein Blood Test cost?

$10.96

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $17.78 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$9.33 to $13.80
FacilityA hospital or hospital-owned outpatient department$17.78$10.96 to $31.62

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $59Professionalmedian $11 · 10th to 90th $7 to $21
$10$20$50facility $18professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$13.18
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$16.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.50
Median
$5.50
Typical High
$6.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.19
Median
$2.19
Typical High
$2.40
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$9.12
Typical High
$19.50
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$58.88
Typical High
$58.88
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$30.20
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$9.33
Typical High
$22.39
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$26.92
Typical High
$107.15
Medcost
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.96
Typical High
$28.84
Medcost
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$19.95
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$9.55
Typical High
$19.05

Where North Carolina sits

The same service costs 28.8 times more in Vermont than in Alabama. 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.

North Carolina· 47th of 51

$10.96

VT $174AL $6.03

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.