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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 October 2026.

How much does Clotting Protein Activity Test cost?

$30.90

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$18.62 to $40.74
FacilityA hospital or hospital-owned outpatient department$97.72$57.54 to $129

How much rates vary

Facilitymedian $98 · 10th to 90th $33 to $158Professionalmedian $20 · 10th to 90th $17 to $85
$20$50$100$200facility $98professional $20

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
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$26.30
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$97.72
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$19.95
Typical High
$21.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$125.89
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$31.62
Typical High
$128.82
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$46.77
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$18.62
Typical High
$38.90
Well Sense
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where New Hampshire 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.

New Hampshire· 18th of 51

$30.90

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.