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Clotting Protein Activity Test

Iowa 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?

$37.15

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $67.61 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$28.18$22.39 to $70.79
FacilityA hospital or hospital-owned outpatient department$67.61$30.90 to $89.13

How much rates vary

Facilitymedian $68 · 10th to 90th $28 to $380Professionalmedian $28 · 10th to 90th $19 to $204
$20$50$100$200$500facility $68professional $28

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
$23.99
Median
$81.28
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.99
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$74.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$67.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$40.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$19.95
Typical High
$67.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$30.90

Where Iowa 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.

Iowa· 11th of 51

$37.15

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.