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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 October 2026.

How much does Clotting Protein Activity Test cost?

$28.84

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $35.48 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$18.62 to $28.84
FacilityA hospital or hospital-owned outpatient department$35.48$28.84 to $155

How much rates vary

Facilitymedian $35 · 10th to 90th $29 to $204Professionalmedian $25 · 10th to 90th $13 to $35
$20$50$100$200facility $35professional $25

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
$28.84
Median
$154.88
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$28.84
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$33.88
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$15.85
Typical High
$43.65
Molina
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$35.48
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$23.44
Typical High
$27.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Select Health
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$30.90
Typical High
$39.81
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.90
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.49
Typical High
$18.62

Where Utah 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.

Utah· 23rd of 51

$28.84

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.