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Blood Clotting Time Test for Clotting Disorders

Maine rates for HCPCS 85613

This blood test measures how long it takes blood to clot under specific laboratory conditions, using a diluted testing method that helps identify certain antibody-related clotting disorders. It is often used as part of a workup for unexplained blood clots or pregnancy complications linked to an autoimmune clotting problem.

Rates data updated July 2026.

How much does Blood Clotting Time Test for Clotting Disorders cost?

$12.30

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $23.99 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 6 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$9.55$7.24 to $10.96
FacilityA hospital or hospital-owned outpatient department$23.99$12.59 to $60.26

How much rates vary

Facilitymedian $24 · 10th to 90th $10 to $95Professionalmedian $10 · 10th to 90th $5 to $11
$5$10$20$50$100$200facility $24professional $10

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
$9.55
Median
$23.44
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.76
Typical High
$11.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$56.23
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.50
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$13.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.55
Typical High
$11.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$36.31
Typical High
$104.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$9.55
Typical High
$18.20

Where Maine sits

The same service costs 4.2 times more in South Carolina than in Vermont. 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.

Maine· 22nd of 51

$12.30

SC $35.48VT $8.51

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.