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Unlisted Blood And Clotting Laboratory Test

Virginia rates for HCPCS 85999

A laboratory test on blood cells or on the blood's clotting system that has no standard named entry of its own. It is used when a laboratory performs an uncommon or newly developed analysis for which no established named test exists. What the test measures depends entirely on what the ordering clinician requested, so the laboratory supplies a written description of the work done.

Rates data updated October 2026.

How much does Unlisted Blood And Clotting Laboratory Test cost?

$38.90

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $38.02 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,571$4.07 to $10,233
FacilityA hospital or hospital-owned outpatient department$38.02$16.98 to $67.61

How much rates vary

Facilitymedian $38 · 10th to 90th $11 to $10,233Professionalmedian $4,571 · 10th to 90th $4 to $11,482
$10$100$1K$10Kfacility $38professional $4,571

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareFirst
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$36.31
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.91
Medcost
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Medcost
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Sentara
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
Sentara
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54

Where Virginia sits

The same service costs 2951.2 times more in Massachusetts than in Kentucky. 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· 30th of 50

$38.90

MA $3,090KY $1.05

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.