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D-Dimer Blood Clot Screening Test

North Carolina 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?

$8.51

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $31.62 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$7.08 to $9.33
FacilityA hospital or hospital-owned outpatient department$31.62$8.51 to $43.65

How much rates vary

Facilitymedian $32 · 10th to 90th $8 to $148Professionalmedian $8 · 10th to 90th $5 to $13
$5$10$20$50$100$200facility $32professional $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
$38.90
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.76
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$21.88
Typical High
$31.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.31
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.13
Typical High
$13.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$25.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$13.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$9.12
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$10.00
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.13
Typical High
$10.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$102.33

Where North Carolina 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.

North Carolina· 38th of 51

$8.51

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.