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Blood Test for a Clot-Protecting Protein

Pennsylvania 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?

$7.41

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $19.50 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 9 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$6.31$6.03 to $7.24
FacilityA hospital or hospital-owned outpatient department$19.50$10.72 to $27.54

How much rates vary

Facilitymedian $19 · 10th to 90th $7 to $324Professionalmedian $6 · 10th to 90th $6 to $13
$5$10$20$50$100$200facility $19professional $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
$6.61
Median
$19.50
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$11.75
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$12.02
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$9.55
Typical High
$18.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.57
Typical High
$11.22
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.51
Typical High
$13.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$60.26
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$19.50
Typical High
$72.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.61
Typical High
$22.91
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$42.66
Typical High
$74.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.76
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$7.76
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.03
Typical High
$13.18

Where Pennsylvania 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.

Pennsylvania· 32nd of 51

$7.41

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.