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Protein S Level Test

North Carolina rates for HCPCS 85305

This blood test measures the total amount of a natural protein the body uses to help regulate blood clotting. It is used to help investigate an unexplained blood clot or a family history of clotting problems.

Rates data updated July 2026.

How much does Protein S Level Test cost?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $41.69 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$10.00$9.33 to $14.13
FacilityA hospital or hospital-owned outpatient department$41.69$15.85 to $112

How much rates vary

Facilitymedian $42 · 10th to 90th $10 to $204Professionalmedian $10 · 10th to 90th $8 to $15
$10$20$50$100$200facility $42professional $10

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
$9.55
Median
$45.71
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$15.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.13
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$50.12
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$22.39
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$17.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$22.39
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$28.18
Typical High
$30.90
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$14.79
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$16.22
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04

Where North Carolina sits

The same service costs 3.0 times more in Pennsylvania than in Tennessee. 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.

North Carolina· 14th of 51

$14.79

PA $27.54TN $9.33

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.