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Clotting Protein Activity Test

Alabama rates for HCPCS 85397

A blood test that measures how well a particular protein involved in forming or dissolving clots is actually working, rather than simply how much of it is present. It is used when a specific measurement is needed that no standard named test covers.

Rates data updated October 2026.

How much does Clotting Protein Activity Test cost?

$26.30

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $26.30 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$13.80 to $35.48
FacilityA hospital or hospital-owned outpatient department$26.30$26.30 to $26.30

How much rates vary

Facilitymedian $26 · 10th to 90th $26 to $28Professionalmedian $19 · 10th to 90th $13 to $35
$10$20$50$100facility $26professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$35.48
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers
Typical Low
$15.85
Median
$19.50
Typical High
$23.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$26.30
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$128.82
United
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$14.13
Typical High
$18.62

Where Alabama sits

The same service costs 3.7 times more in Alaska than in Kansas. 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.

Alabama· 28th of 51

$26.30

AK $69.18KS $18.62

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.