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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 July 2026.

How much does Clotting-regulation Protein Blood Test cost?

$34.67

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $63.10 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 8 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$10.96 to $17.78
FacilityA hospital or hospital-owned outpatient department$63.10$33.11 to $166

How much rates vary

Facilitymedian $63 · 10th to 90th $12 to $234Professionalmedian $12 · 10th to 90th $10 to $38
$10.0$20.0$50.0$100.0$200.0$500.0facility $63professional $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
$12.30
Median
$69.18
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.30
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.55
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.59
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$26.92
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.55
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$26.92
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$48.98
Typical High
$54.95
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$18.20
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$19.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80

Where North Carolina 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.

North Carolina $34.67 · 5th 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.