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Clotting Protein Activity Test

South Carolina 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?

$23.99

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $58.88 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$23.99$23.99 to $30.90
FacilityA hospital or hospital-owned outpatient department$58.88$27.54 to $102

How much rates vary

Facilitymedian $59 · 10th to 90th $22 to $191Professionalmedian $24 · 10th to 90th $14 to $35
$10$20$50$100facility $59professional $24

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$165.96
Typical High
$169.82
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$30.90
Typical High
$36.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$77.62
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.85
Typical High
$35.48
Medcost
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$23.99
Typical High
$40.74
Medcost
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$14.13
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$15.49
Typical High
$33.88

Where South Carolina 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.

South Carolina· 39th of 51

$23.99

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.