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Clotting Protein Activity Test

Virginia 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?

$24.55

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $38.02 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.38$14.13 to $25.70
FacilityA hospital or hospital-owned outpatient department$38.02$30.90 to $72.44

How much rates vary

Facilitymedian $38 · 10th to 90th $26 to $138Professionalmedian $21 · 10th to 90th $12 to $39
$10$100$1K$10Kfacility $38professional $21

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
$22.91
Median
$38.90
Typical High
$72.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.12
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.85
Typical High
$23.44
CareFirst
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$24.55
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$60.26
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$19.05
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$37.15
Typical High
$45.71
Medcost
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$46.77
Medcost
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$24.55
Typical High
$46.77
Medcost
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$20.42
Typical High
$20.42
Sentara
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$36.31
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$38.02
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$16.22
Typical High
$30.90

Where Virginia 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.

Virginia· 38th of 51

$24.55

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.