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Clotting Protein Activity Test

Tennessee 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?

$24.55

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $46.77 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 6 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$22.91$22.91 to $27.54
FacilityA hospital or hospital-owned outpatient department$46.77$24.55 to $110

How much rates vary

Facilitymedian $47 · 10th to 90th $25 to $309Professionalmedian $23 · 10th to 90th $20 to $33
$10$20$50$100$200$500$1Kfacility $47professional $23

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
$24.55
Median
$46.77
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$64.57
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$43.65
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$27.54
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$33.88

Where Tennessee sits

The same service costs 2.8 times more in South Dakota than in Florida. 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.

Tennessee· 43rd of 51

$24.55

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.