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Clotting Protein Activity Test

Maine 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?

$25.12

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $25.12 for this service. Most negotiated rates run $17.78 to $38.02.

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.

How much rates vary

Facilitymedian $41 · 10th to 90th $30 to $204Professionalmedian $19 · 10th to 90th $12 to $37
$10$20$50$100$200facility $41professional $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
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$40.74
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.49
Typical High
$19.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$35.48
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$30.90
Typical High
$35.48
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$54.95
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$54.95

Where Maine 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.

Maine· 33rd of 51

$25.12

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.