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Clotting Protein Activity Test

Georgia 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?

$22.39

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $38.02 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$12.30 to $38.90
FacilityA hospital or hospital-owned outpatient department$38.02$30.90 to $61.66

How much rates vary

Facilitymedian $38 · 10th to 90th $24 to $107Professionalmedian $19 · 10th to 90th $8 to $45
$10$20$50$100facility $38professional $19

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
$20.42
Median
$20.42
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$23.99
Typical High
$29.51
Ambetter
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$34.67
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$13.80
Typical High
$44.67
CareSource
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$66.07
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$35.48
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$18.62
Typical High
$64.57

Where Georgia 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.

Georgia· 45th of 51

$22.39

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.