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Blood Clotting Time Test for Clotting Disorders

Vermont 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?

$8.51

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $87.10 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 5 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$8.51$8.32 to $14.13
FacilityA hospital or hospital-owned outpatient department$87.10$74.13 to $100

How much rates vary

Facilitymedian $87 · 10th to 90th $16 to $110Professionalmedian $9 · 10th to 90th $8 to $17
$5$10$20$50$100facility $87professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$95.50
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$13.80
Typical High
$16.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$11.75
Typical High
$25.70

Where Vermont 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.

Vermont· 51st of 51

$8.51

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.