go back

Clotting Protein Activity Test

New Mexico 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?

$28.84

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $162 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$14.13 to $35.48
FacilityA hospital or hospital-owned outpatient department$162$54.95 to $214

How much rates vary

Facilitymedian $162 · 10th to 90th $28 to $295Professionalmedian $25 · 10th to 90th $13 to $46
$20$50$100$200facility $162professional $25

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
$22.91
Median
$57.54
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$22.91
Typical High
$37.15
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$190.55
Typical High
$309.03
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$25.12
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$41.69
Typical High
$56.23
Providence
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$28.84
Typical High
$37.15
Providence
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$41.69
Typical High
$56.23
United
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$18.62

Where New Mexico 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 Mexico· 22nd of 51

$28.84

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.