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Blood Clotting Time Test for Clotting Disorders

Virginia 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?

$9.55

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $22.91 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$7.59$7.24 to $9.12
FacilityA hospital or hospital-owned outpatient department$22.91$10.23 to $64.57

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $126Professionalmedian $8 · 10th to 90th $5 to $18
$10$100$1K$10Kfacility $23professional $8

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
$10.72
Median
$45.71
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$18.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$7.41
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$44.67
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$22.91
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$16.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$14.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$16.22
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.71
Typical High
$9.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.95
Typical High
$23.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$9.55
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.75
Typical High
$10.00

Where Virginia 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.

Virginia· 40th of 51

$9.55

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.