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Clotting Protein Activity Test

Arkansas 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?

$35.48

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $38.90 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 4 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$19.05 to $38.90
FacilityA hospital or hospital-owned outpatient department$38.90$35.48 to $46.77

How much rates vary

Facilitymedian $39 · 10th to 90th $26 to $59Professionalmedian $23 · 10th to 90th $19 to $39
$10$20$50$100$200facility $39professional $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
$24.55
Median
$38.90
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.90
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$26.92
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$33.88

Where Arkansas sits

The same service costs 2.8 times more in South Dakota than in Florida. 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.

Arkansas· 16th of 51

$35.48

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.