go back

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 October 2026.

How much does Clotting Protein Activity Test cost?

$24.55

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $45.71 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.38$12.30 to $25.70
FacilityA hospital or hospital-owned outpatient department$45.71$32.36 to $67.61

How much rates vary

Facilitymedian $46 · 10th to 90th $26 to $100Professionalmedian $17 · 10th to 90th $12 to $45
$10$20$50$100$200facility $46professional $17

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
$34.67
Median
$74.13
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$24.55
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$35.48
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.18
Typical High
$35.48
CareSource
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$35.48
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$38.02
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.49
Typical High
$40.74
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$41.69
Typical High
$128.82
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.49
Typical High
$37.15
Molina
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$21.38
Typical High
$37.15
SummaCare
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$26.30
Typical High
$37.15
United
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$27.54
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$18.62
Typical High
$43.65

Where Ohio 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.

Ohio· 35th of 51

$24.55

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.