go back

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 July 2026.

How much does Clotting Protein Activity Test cost?

$32.36

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $35.48 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 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$25.70$24.55 to $93.33
FacilityA hospital or hospital-owned outpatient department$35.48$32.36 to $263

How much rates vary

Facilitymedian $35 · 10th to 90th $26 to $331Professionalmedian $26 · 10th to 90th $25 to $93
$20$50$100$200facility $35professional $26

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
$25.70
Median
$35.48
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.60
Typical High
$44.67
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.62
Typical High
$33.88

Where Delaware 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.

Delaware· 22nd of 51

$32.36

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.