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Clotting-regulation Protein Blood Test

Nebraska 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?

$13.18

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $32.36 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$8.32 to $13.80
FacilityA hospital or hospital-owned outpatient department$32.36$20.42 to $60.26

How much rates vary

Facilitymedian $32 · 10th to 90th $9 to $209Professionalmedian $8 · 10th to 90th $8 to $34
$10$20$50$100$200facility $32professional $8

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
$9.77
Median
$20.42
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$9.12
Typical High
$12.02
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$36.31
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.98
Typical High
$33.88
Medica
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$41.69
Typical High
$239.88
Medica
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$51.29
Midlands
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$25.12
Midlands
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
United
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.75
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$8.32
Typical High
$27.54
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
90 · Outside lab
Typical Low
$6.92
Median
$6.92
Typical High
$34.67

Where Nebraska 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.

Nebraska· 33rd of 51

$13.18

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.