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Ultrasensitive D-Dimer Blood Test

New Jersey rates for HCPCS 85380

This is a highly sensitive blood test that measures a protein fragment produced when a blood clot breaks down. An elevated result can suggest the presence of a blood clot somewhere in the body, such as in a deep leg vein or the lungs, though it does not show exactly where. Because of its high sensitivity, this version is often used specifically to help rule out a clot when the suspicion is low, since a normal result makes a clot unlikely.

Rates data updated July 2026.

How much does Ultrasensitive D-Dimer Blood 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 $8.32 from a physician practice, and about $17.78 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$8.32$6.03 to $12.02
FacilityA hospital or hospital-owned outpatient department$17.78$12.30 to $61.66

How much rates vary

Facilitymedian $18 · 10th to 90th $9 to $537Professionalmedian $8 · 10th to 90th $5 to $18
$10$100$1K$10Kfacility $18professional $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
$7.41
Median
$12.88
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.71
Typical High
$17.78
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$549.54
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$22.39
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$28.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.13
Typical High
$11.48
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$10.23
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$11.48

Where New Jersey sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 15th of 51

$12.30

HI $18.20DC $7.59

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.