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D-Dimer Blood Clot Screening Test

Massachusetts 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?

$9.77

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $19.50 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 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$9.77$8.13 to $13.18
FacilityA hospital or hospital-owned outpatient department$19.50$13.18 to $27.54

How much rates vary

Facilitymedian $19 · 10th to 90th $7 to $39Professionalmedian $10 · 10th to 90th $6 to $24
$5$20$100$500$2Kfacility $19professional $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
$9.77
Median
$21.88
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$31.62
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.96
Typical High
$102.33
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$12.02
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.22
Typical High
$25.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$46.77
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$21.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.96
Typical High
$102.33
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$8.91
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.12
Typical High
$22.39

Where Massachusetts 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.

Massachusetts· 24th of 51

$9.77

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.