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Clotting Protein Activity Test

Idaho 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?

$50.12

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $61.66 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$32.36$29.51 to $51.29
FacilityA hospital or hospital-owned outpatient department$61.66$42.66 to $112

How much rates vary

Facilitymedian $62 · 10th to 90th $31 to $123Professionalmedian $32 · 10th to 90th $14 to $60
$20$50$100facility $62professional $32

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
$37.15
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$60.26
Typical High
$60.26
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$77.62
Typical High
$128.82
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$31.62
Typical High
$33.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$64.57
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$22.91
Typical High
$44.67
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$60.26
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$37.15
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$46.77
Typical High
$58.88
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$51.29
Typical High
$58.88
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$69.18
Typical High
$112.20
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
Select Health
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$100.00
Select Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$50.12

Where Idaho 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.

Idaho· 2nd of 51

$50.12

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.