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Blood Clotting Time Test for Clotting Disorders

North Carolina 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?

$26.92

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $56.23 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 8 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$8.71$7.59 to $12.30
FacilityA hospital or hospital-owned outpatient department$56.23$19.95 to $91.20

How much rates vary

Facilitymedian $56 · 10th to 90th $9 to $110Professionalmedian $9 · 10th to 90th $8 to $28
$5$10$20$50$100facility $56professional $9

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
$8.91
Median
$57.54
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.76
Typical High
$14.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$18.62
Typical High
$109.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.71
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$26.92
Typical High
$30.20
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$12.59
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.76
Typical High
$13.49
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$67.61

Where North Carolina 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.

North Carolina· 3rd of 51

$26.92

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.