go back

Clotting Protein Activity Test

Arizona 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?

$22.91

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $61.66 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.49$13.18 to $20.89
FacilityA hospital or hospital-owned outpatient department$61.66$26.30 to $97.72

How much rates vary

Facilitymedian $62 · 10th to 90th $19 to $141Professionalmedian $15 · 10th to 90th $13 to $32
$10$20$50$100facility $62professional $15

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
$23.99
Median
$47.86
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$79.43
Typical High
$120.23
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$25.70
Typical High
$37.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$60.26
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$27.54
Typical High
$46.77
Medica
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$29.51
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$27.54
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
90 · Outside lab
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where Arizona 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.

Arizona· 44th of 51

$22.91

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.