go back

Clotting Protein Activity Test

Indiana 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?

$22.91

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $30.90 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$10.47 to $28.18
FacilityA hospital or hospital-owned outpatient department$30.90$30.90 to $64.57

How much rates vary

Facilitymedian $31 · 10th to 90th $25 to $93Professionalmedian $19 · 10th to 90th $9 to $47
$10$50$200$1Kfacility $31professional $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
$25.12
Median
$46.77
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$25.12
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$30.90
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$12.30
Typical High
$33.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$30.90
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$30.20
Typical High
$58.88
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$77.62
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$25.70
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$19.95
Typical High
$37.15

Where Indiana 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.

Indiana· 42nd of 51

$22.91

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.