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Clotting Protein Activity Test

Nebraska 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?

$48.98

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $83.18 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$20.42$20.42 to $63.10
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $170

How much rates vary

Facilitymedian $83 · 10th to 90th $22 to $245Professionalmedian $20 · 10th to 90th $19 to $204
$20$50$100$200facility $83professional $20

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
$61.66
Median
$83.18
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$58.88
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$38.90
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$33.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$63.10
Midlands
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$18.62
Typical High
$61.66

Where Nebraska 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.

Nebraska· 3rd of 51

$48.98

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.