go back

D-Dimer Blood Clot Screening Test

Illinois 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?

$9.55

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $16.98 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 $9.77
FacilityA hospital or hospital-owned outpatient department$16.98$11.22 to $26.92

How much rates vary

Facilitymedian $17 · 10th to 90th $8 to $102Professionalmedian $8 · 10th to 90th $3 to $19
$5$10$20$50$100$200facility $17professional $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
$8.32
Median
$16.98
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.76
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$20.42
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$10.72
Typical High
$15.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$81.28
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$9.77

Where Illinois 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.

Illinois· 31st of 51

$9.55

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.