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Clotting Protein Activity Test

New Hampshire 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?

$41.69

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $58.88 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$26.30$19.95 to $57.54
FacilityA hospital or hospital-owned outpatient department$58.88$50.12 to $117

How much rates vary

Facilitymedian $59 · 10th to 90th $33 to $178Professionalmedian $26 · 10th to 90th $19 to $102
$20.0$50.0$100.0$200.0facility $59professional $26

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
$26.30
Median
$54.95
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.30
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$117.49
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$31.62
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$53.70
Typical High
$102.33
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
$19.95
Typical High
$69.18

Where New Hampshire 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.

New Hampshire $41.69 · 7th 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.