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Clotting Protein Activity Test

Ohio 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?

$30.90

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $53.70 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 8 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$23.44$14.79 to $30.20
FacilityA hospital or hospital-owned outpatient department$53.70$32.36 to $89.13

How much rates vary

Facilitymedian $54 · 10th to 90th $28 to $100Professionalmedian $23 · 10th to 90th $12 to $74
$10.0$20.0$50.0$100.0$200.0facility $54professional $23

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
$28.84
Median
$67.61
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.12
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$32.36
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$35.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$39.81
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$46.77
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$74.13
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.62
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$30.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$33.88

Where Ohio 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.

Ohio $30.90 · 29th 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.