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See a sample rate comparisonCPT 85348 Fee Schedule
Medicare rates as of January 2026
CPT 85348 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 | $4.49 national lab fee schedule rate (2026) · View Medicare rates for 85348 |
| Medicaid Fee Schedule | $4.13 median of the 8 states in the free preview · View Medicaid rates for 85348 |
National average reimbursement for CPT 85348 by major payers:
$3.89
BCBS / Anthem
$3.02
UnitedHealthcare
$4.88
Aetna
$6.61
Cigna
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CPT 85348
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$9.88Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$4.49Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$3.76Published rateEast Texas Medical Center Athens
Etx Successor Athens
$2.18Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$1.57Published rate
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See a sample payer proposalCPT 85348 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85348. 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. |
| 85384-CPT | Low | Blood Clotting Protein Test, The Factor I Test Measures The Activity Level Of Fibrinogen One Of 20 Proteins Needed For Blood Clotting. It Is Made In The Liver. When An Injury Occurs Fibrinogen Binds To Other Proteins At A Wound Site To Form A Barrier To Prevent Additional Blood Loss. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85348. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85348 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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