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Clotting Protein Activity Test

Florida 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?

$21.38

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $57.54 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 8 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$21.38$19.05 to $22.91
FacilityA hospital or hospital-owned outpatient department$57.54$31.62 to $91.20

How much rates vary

Facilitymedian $58 · 10th to 90th $26 to $123Professionalmedian $21 · 10th to 90th $19 to $33
$10$20$50$100$200facility $58professional $21

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
$26.30
Median
$74.13
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$28.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.05
AvMed
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$36.31
AvMed
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$29.51
Typical High
$56.23
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$30.90

Where Florida 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.

Florida· 51st of 51

$21.38

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.