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Clotting Protein Activity Test

Delaware 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?

$25.70

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $44.67 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$16.22 to $33.88
FacilityA hospital or hospital-owned outpatient department$44.67$25.70 to $162

How much rates vary

Facilitymedian $45 · 10th to 90th $20 to $195Professionalmedian $20 · 10th to 90th $13 to $45
$20$50$100facility $45professional $20

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$24.55
Typical High
$25.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$44.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$35.48
Typical High
$147.91
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$18.62
Typical High
$33.88

Where Delaware 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.

Delaware· 31st of 51

$25.70

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.