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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 July 2026.

How much does Clotting Protein Activity Test cost?

$30.90

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $23.44 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 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$23.44$20.42 to $35.48
FacilityA hospital or hospital-owned outpatient department$31.62$27.54 to $35.48

How much rates vary

Facilitymedian $32 · 10th to 90th $25 to $47Professionalmedian $23 · 10th to 90th $19 to $35
$10.0$50.0$200.0$1.0Kfacility $32professional $23

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
$30.90
Median
$35.48
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.60
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.13
Typical High
$33.88

Where Alabama sits

The same service costs 2.8 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $30.90 · 30th of 51
SD $58.88FL $21.38

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.