go back

Blood Test for a Clot-Protecting Protein

North Carolina rates for HCPCS 85410

A blood test that measures a protein whose job is to stop the body from dissolving blood clots too quickly. It is ordered when someone bleeds abnormally and a problem with clots breaking down too fast is suspected.

Rates data updated July 2026.

How much does Blood Test for a Clot-Protecting Protein cost?

$6.76

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $12.59 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 7 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$6.17$6.17 to $6.92
FacilityA hospital or hospital-owned outpatient department$12.59$6.76 to $145

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $158Professionalmedian $6 · 10th to 90th $5 to $10
$5$10$20$50$100$200facility $13professional $6

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
$6.17
Median
$12.59
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.17
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$15.14
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.37
Typical High
$11.75
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$14.79
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.76
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.59
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$10.00
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$10.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65

Where North Carolina sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. 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.

North Carolina· 42nd of 51

$6.76

HI $13.80DC $5.75

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.