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See a sample rate comparisonCPT 85347 Fee Schedule
Medicare rates as of January 2026
CPT 85347 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Coagulation Time (Clotting), This Test Measures How Long Before Whole Blood Begins To Clot. It Is A Baseline Check Of Blood Clotting Function And Often Done When A Person Is Taking Anticoagulant Drugs.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.28 national lab fee schedule rate (2026) · View Medicare rates for 85347 |
| Medicaid Fee Schedule | $3.935 median of the 8 states in the free preview · View Medicaid rates for 85347 |
National average reimbursement for CPT 85347 by major payers:
$3.82
BCBS / Anthem
$3.18
UnitedHealthcare
$4.74
Aetna
$6.30
Cigna
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CPT 85347
5 of 25 sample ratesHigher to lower in this preview
Forest Park Medical Center LLC
$10.50Published rateLakeview Medical Center, LLC, Lakeview Regional Medical Center
$5.23Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$4.28Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$3.84Published rateMethodist Hospital Plainview Texas, Covenant Hospital Plainview
Methodist Hospital Plainview Texas
$1.99Published rate
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See a sample payer proposalCPT 85347 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85347. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85345-CPT | Low | Coagulation Time; Lee & White |
| 85347-CPT | Low | Coagulation Time (Clotting), This Test Measures How Long Before Whole Blood Begins To Clot. It Is A Baseline Check Of Blood Clotting Function And Often Done When A Person Is Taking Anticoagulant Drugs. |
| 85348-CPT | Low | Coagulation Time (Clotting), This Test Measures How Long Before Whole Blood Begins To Clot. It Is A Baseline Check Of Blood Clotting Function And Often Done When A Person Is Taking Anticoagulant Drugs. |
| 85370-CPT | Low | Blood Clotting Problem Test, This Test Is Done To Detect A Problem In The System That Regulates Blood Clotting. It Can Also Detect Whether A Hidden Blood Clot (One That Did Not Produce Symptoms) Has Occurred. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85347. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85347 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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