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Clotting Protein Activity Test

Kansas 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?

$26.92

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $30.20 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 6 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$26.92$22.91 to $28.18
FacilityA hospital or hospital-owned outpatient department$30.20$19.50 to $56.23

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $69Professionalmedian $27 · 10th to 90th $20 to $31
$20$50$100facility $30professional $27

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
$20.42
Median
$53.70
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$18.62
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$37.15
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$53.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$48.98

Where Kansas 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.

Kansas· 38th of 51

$26.92

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.