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Clotting-regulation Protein Blood Test

New Jersey 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?

$20.89

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $46.77 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$12.02$10.72 to $14.45
FacilityA hospital or hospital-owned outpatient department$46.77$23.44 to $85.11

How much rates vary

Facilitymedian $47 · 10th to 90th $14 to $148Professionalmedian $12 · 10th to 90th $10 to $20
$10$100$1K$10Kfacility $47professional $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
$15.85
Median
$46.77
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$19.95
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$162.18
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$15.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$19.95

Where New Jersey 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.

New Jersey· 18th of 51

$20.89

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.