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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 July 2026.

How much does Clotting Protein Activity Test cost?

$25.12

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $186 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 5 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$24.55$22.91 to $25.12
FacilityA hospital or hospital-owned outpatient department$186$38.90 to $240

How much rates vary

Facilitymedian $186 · 10th to 90th $25 to $240Professionalmedian $25 · 10th to 90th $14 to $26
$10.0$20.0$50.0$100.0$200.0facility $186professional $25

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
$25.12
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$44.67
Typical High
$147.91
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$33.88

Where West Virginia 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.

West Virginia $25.12 · 42nd 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.