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Clotting Protein Activity Test

North Dakota 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?

$52.48

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $54.95 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$52.48$28.84 to $63.10
FacilityA hospital or hospital-owned outpatient department$54.95$21.38 to $95.50

How much rates vary

Facilitymedian $55 · 10th to 90th $21 to $95Professionalmedian $52 · 10th to 90th $21 to $71
$20$50$100facility $55professional $52

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
$21.38
Median
$54.95
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$44.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$46.77
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.22
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$32.36
Typical High
$44.67

Where North Dakota 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.

North Dakota· 2nd of 51

$52.48

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.