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D-Dimer Blood Clot Screening Test

Georgia rates for HCPCS 85378

This is a blood test that measures a substance released into the bloodstream when a blood clot starts to break down. It is commonly used to help rule out conditions such as a blood clot in the leg or lungs when the result comes back low, giving a straightforward positive or negative type reading.

Rates data updated July 2026.

How much does D-Dimer Blood Clot Screening Test cost?

$8.71

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $11.22 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$7.76$6.46 to $9.33
FacilityA hospital or hospital-owned outpatient department$11.22$8.71 to $13.49

How much rates vary

Facilitymedian $11 · 10th to 90th $8 to $22Professionalmedian $8 · 10th to 90th $4 to $16
$5$10$20$50$100facility $11professional $8

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
$7.76
Median
$13.49
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$14.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$19.05
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.13
Typical High
$15.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$8.71
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$12.02

Where Georgia sits

The same service costs 3.8 times more in Nebraska than in Connecticut. 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.

Georgia· 37th of 51

$8.71

NE $25.70CT $6.76

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.