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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 July 2026.

How much does Clotting Protein Activity Test cost?

$24.55

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $52.48 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$24.55$20.89 to $24.55
FacilityA hospital or hospital-owned outpatient department$52.48$34.67 to $123

How much rates vary

Facilitymedian $52 · 10th to 90th $22 to $145Professionalmedian $25 · 10th to 90th $13 to $204
$10.0$20.0$50.0$100.0$200.0facility $52professional $25

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
$44.67
Median
$95.50
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$77.62
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$27.54
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$30.90

Where Arizona 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.

Arizona $24.55 · 44th 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.