go back

Clotting Protein Activity Test

Utah 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?

$28.84

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $97.72 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$26.92$23.99 to $28.84
FacilityA hospital or hospital-owned outpatient department$97.72$35.48 to $155

How much rates vary

Facilitymedian $98 · 10th to 90th $29 to $204Professionalmedian $27 · 10th to 90th $21 to $35
$10.0$20.0$50.0$100.0$200.0facility $98professional $27

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
$28.84
Median
$154.88
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$44.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$27.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$39.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.49
Typical High
$33.88

Where Utah 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.

Utah $28.84 · 34th 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.