go back

Clotting Protein Activity Test

South Dakota 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?

$58.88

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $58.88 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 7 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$44.67$23.99 to $72.44
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $95.50

How much rates vary

Facilitymedian $59 · 10th to 90th $32 to $95Professionalmedian $45 · 10th to 90th $21 to $74
$20.0$50.0$100.0$200.0$500.0facility $59professional $45

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
$35.48
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$28.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$31.62
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$37.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$63.10
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$39.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90

Where South Dakota 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.

South Dakota $58.88 · 1st 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.