go back

Clotting Protein Activity Test

Kentucky 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?

$24.55

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $30.90 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 5 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$24.55$8.91 to $28.18
FacilityA hospital or hospital-owned outpatient department$30.90$25.12 to $44.67

How much rates vary

Facilitymedian $31 · 10th to 90th $25 to $74Professionalmedian $25 · 10th to 90th $9 to $43
$10$20$50$100facility $31professional $25

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
$25.12
Median
$25.12
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$30.90
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$19.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$43.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$44.67
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$30.90
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$33.88

Where Kentucky 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.

Kentucky· 45th of 51

$24.55

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.