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Clotting Protein Activity Test

Oregon 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?

$32.36

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $33.88 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 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$31.62$30.20 to $43.65
FacilityA hospital or hospital-owned outpatient department$33.88$30.90 to $61.66

How much rates vary

Facilitymedian $34 · 10th to 90th $31 to $105Professionalmedian $32 · 10th to 90th $26 to $60
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $34professional $32

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
$39.81
Median
$64.57
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$33.88
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$79.43
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$41.69
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$61.66
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$61.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.88
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$37.15

Where Oregon 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.

Oregon $32.36 · 23rd 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.