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Clotting-regulation Protein Blood Test

Tennessee 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?

$13.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $95.50 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$10.96$10.47 to $12.59
FacilityA hospital or hospital-owned outpatient department$95.50$26.92 to $240

How much rates vary

Facilitymedian $95 · 10th to 90th $11 to $275Professionalmedian $11 · 10th to 90th $10 to $19
$10$20$50$100$200facility $95professional $11

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
$10.96
Median
$138.04
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.92
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$29.51
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.72
Typical High
$21.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.47
Typical High
$19.50

Where Tennessee 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.

Tennessee· 42nd of 51

$13.18

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.