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Clotting Protein Activity Test

Wyoming 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?

$46.77

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $38.90 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 4 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$47.86$38.90 to $100
FacilityA hospital or hospital-owned outpatient department$38.90$30.90 to $46.77

How much rates vary

Facilitymedian $39 · 10th to 90th $28 to $62Professionalmedian $48 · 10th to 90th $31 to $100
$20.0$50.0$100.0facility $39professional $48

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. 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
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.85
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$33.88

Where Wyoming 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.

Wyoming $46.77 · 4th 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.