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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 July 2026.

How much does Clotting Protein Activity Test cost?

$37.15

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $70.79 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$30.90$28.84 to $60.26
FacilityA hospital or hospital-owned outpatient department$70.79$38.90 to $115

How much rates vary

Facilitymedian $71 · 10th to 90th $31 to $129Professionalmedian $31 · 10th to 90th $21 to $60
$20.0$50.0$100.0$200.0facility $71professional $31

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
$56.23
Median
$114.82
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$35.48
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$77.62
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$64.57
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$44.67
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$39.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$37.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$112.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.30
Typical High
$32.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$38.02

Where Idaho 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.

Idaho $37.15 · 13th 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.