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D-Dimer Blood Clot Screening Test

Montana 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?

$12.02

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $15.49 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$11.22$9.33 to $15.49
FacilityA hospital or hospital-owned outpatient department$15.49$12.02 to $33.88

How much rates vary

Facilitymedian $15 · 10th to 90th $10 to $115Professionalmedian $11 · 10th to 90th $8 to $65
$10$100$1K$10K$100Kfacility $15professional $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
$42.66
Median
$93.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$11.22
Typical High
$14.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.59
Typical High
$29.51
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.59
Typical High
$29.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$19.05
Typical High
$54.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$10.00

Where Montana 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.

Montana· 11th of 51

$12.02

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.