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Clotting Protein Activity Test

West 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?

$25.12

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $93.33 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$14.13 to $44.67
FacilityA hospital or hospital-owned outpatient department$93.33$44.67 to $158

How much rates vary

Facilitymedian $93 · 10th to 90th $26 to $219Professionalmedian $19 · 10th to 90th $14 to $62
$10$20$50$100$200facility $93professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$25.12
Typical High
$25.12
CareSource
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
CareSource
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$60.26
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$44.67
Typical High
$147.91
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$15.49
Typical High
$61.66

Where West 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.

West Virginia· 32nd of 51

$25.12

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.