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Blood Clotting Time Test for Clotting Disorders

West 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?

$18.20

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $58.88 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$7.59$7.24 to $9.12
FacilityA hospital or hospital-owned outpatient department$58.88$23.99 to $89.13

How much rates vary

Facilitymedian $59 · 10th to 90th $9 to $123Professionalmedian $8 · 10th to 90th $6 to $11
$5$10$20$50$100$200$500facility $59professional $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
$8.71
Median
$58.88
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.94
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$18.20
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$18.20
Typical High
$56.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$107.15
Typical High
$436.52
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$12.88

Where West 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.

West Virginia· 11th of 51

$18.20

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.