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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 July 2026.

How much does Clotting Protein Activity Test cost?

$28.18

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $39.81 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 7 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$23.99$19.95 to $29.51
FacilityA hospital or hospital-owned outpatient department$39.81$29.51 to $43.65

How much rates vary

Facilitymedian $40 · 10th to 90th $25 to $105Professionalmedian $24 · 10th to 90th $12 to $48
$10.0$20.0$50.0$100.0$200.0facility $40professional $24

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
$24.55
Median
$41.69
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$44.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$38.90

Where Georgia 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.

Georgia $28.18 · 36th 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.