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Blood Clotting Time Test for Clotting Disorders

South Dakota 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?

$26.30

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $30.90 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 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$26.30$8.91 to $40.74
FacilityA hospital or hospital-owned outpatient department$30.90$26.30 to $34.67

How much rates vary

Facilitymedian $31 · 10th to 90th $19 to $78Professionalmedian $26 · 10th to 90th $7 to $55
$10$20$50$100facility $31professional $26

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
$26.30
Median
$30.90
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$33.88
Typical High
$54.95
Avera
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$14.45
Avera
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$23.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$17.78
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$13.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$8.71
Typical High
$13.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55

Where South Dakota 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.

South Dakota· 4th of 51

$26.30

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.