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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 July 2026.

How much does Clotting Protein Activity Test cost?

$30.90

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $50.12 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$30.90$23.44 to $30.90
FacilityA hospital or hospital-owned outpatient department$50.12$30.90 to $138

How much rates vary

Facilitymedian $50 · 10th to 90th $31 to $214Professionalmedian $31 · 10th to 90th $18 to $37
$10.0$20.0$50.0$100.0$200.0facility $50professional $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
$30.90
Median
$30.90
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$30.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$213.80
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$35.48
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$35.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$37.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$138.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$47.86

Where Maine 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.

Maine $30.90 · 26th 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.