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Clotting-regulation Protein Blood Test

Virginia 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?

$13.80

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $30.90 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$10.96$10.47 to $13.18
FacilityA hospital or hospital-owned outpatient department$30.90$14.79 to $83.18

How much rates vary

Facilitymedian $31 · 10th to 90th $14 to $195Professionalmedian $11 · 10th to 90th $7 to $32
$10$100$1K$10Kfacility $31professional $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
$16.22
Median
$38.02
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$26.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$10.72
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$36.31
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$23.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$23.44
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$28.84
Typical High
$43.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$22.39
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.80
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$14.45

Where Virginia 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.

Virginia· 39th of 51

$13.80

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.