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D-Dimer Blood Clot Screening Test

New Jersey 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?

$12.30

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $21.88 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 5 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$7.59$5.62 to $8.51
FacilityA hospital or hospital-owned outpatient department$21.88$12.30 to $52.48

How much rates vary

Facilitymedian $22 · 10th to 90th $10 to $69Professionalmedian $8 · 10th to 90th $5 to $18
$10$100$1K$10Kfacility $22professional $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
$9.77
Median
$22.91
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.76
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$21.88
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.92
Typical High
$19.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$9.77
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$9.77
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$10.00

Where New Jersey 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.

New Jersey· 9th of 51

$12.30

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.