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See a sample rate comparisonCPT 85670 Fee Schedule
Medicare rates as of January 2026
CPT 85670 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.77 national lab fee schedule rate (2026) · View Medicare rates for 85670 |
| Medicaid Fee Schedule | $5.44 median of the 8 states in the free preview · View Medicaid rates for 85670 |
National average reimbursement for CPT 85670 by major payers:
$5.04
BCBS / Anthem
$4.12
UnitedHealthcare
$6.93
Aetna
$8.95
Cigna
Compare published rates across providers.
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CPT 85670
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$18.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$6.85Published rateJacksonville Hospital LLC, Uthealth East Texas Jacksonville Hospital
$5.76Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Trinity Clinic
$3.46Published rateCumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
$2.07Published rate
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See a sample payer proposalCPT 85670 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85670. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85547-CPT | Low | Test Red Blood Cell Strength, The Test Stresses Red Blood Cells To See Whether They Can Be Deformed Or Punctured. The Test Helps To Determine If There Is Weakness Caused By An External Factor Or If The Cells Are Missing An Element They Need. |
| 85549-CPT | Low | Enzyme Test For Leukemia, The Test Sample Is Either Urine Or Blood And The Enzyme Measured Is Muramidase. Amounts Often Are Elevated In Acute Leukemia. The Enzyme May Also Be Out Of Balance With Other Types Of Leukemia. |
| 85670-CPT | Low | Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions. |
| 85675-CPT | Low | Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85670 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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