go back

Clotting-regulation Protein Blood Test

South Dakota 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?

$26.92

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $91.20 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$16.22$12.02 to $38.02
FacilityA hospital or hospital-owned outpatient department$91.20$26.92 to $91.20

How much rates vary

Facilitymedian $91 · 10th to 90th $16 to $112Professionalmedian $16 · 10th to 90th $10 to $182
$10.0$20.0$50.0$100.0$200.0facility $91professional $16

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
$47.86
Median
$91.20
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$181.97
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$20.89
Avera
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$20.89
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.77
Typical High
$19.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$33.11
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.59
Typical High
$19.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80

Where South Dakota 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.

South Dakota $26.92 · 8th 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.