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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 October 2026.

How much does Clotting Protein Activity Test cost?

$33.88

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $50.12 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$30.90$26.30 to $37.15
FacilityA hospital or hospital-owned outpatient department$50.12$30.90 to $69.18

How much rates vary

Facilitymedian $50 · 10th to 90th $31 to $105Professionalmedian $31 · 10th to 90th $13 to $63
$20$50$100facility $50professional $31

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
$70.79
Median
$77.62
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$85.11
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$34.67
Typical High
$52.48
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$77.62
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.90
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.90
Typical High
$41.69
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$33.88
Typical High
$61.66
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Providence
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$44.67
Typical High
$93.33
Providence
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$33.88
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$104.71
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$25.12
Typical High
$33.88
United
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$46.77
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.18
Typical High
$37.15

Where Oregon 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.

Oregon· 15th of 51

$33.88

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.