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See a sample rate comparisonCPT 85732 Fee Schedule
Medicare rates as of January 2026
CPT 85732 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Blood Clotting Time, Partial Thromboplastin Time Assesses The Amount Of Time It Takes For Blood To Clot. The Test Screens For Bleeding Conditions And Is Used To Monitor The Dose Of Heparin And Other Blood Thinners.
| 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 | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.47 national lab fee schedule rate (2026) · View Medicare rates for 85732 |
| Medicaid Fee Schedule | $5.955 median of the 8 states in the free preview · View Medicaid rates for 85732 |
National average reimbursement for CPT 85732 by major payers:
$5.76
BCBS / Anthem
$4.79
UnitedHealthcare
$7.96
Aetna
$9.91
Cigna
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CPT 85732
5 of 25 sample ratesHigher to lower in this preview
Athens Hospital, LLC
$21.00Published rateChristopher Raio
St Joseph Hospital
$8.54Published rateJackson Parish Hospital, Jackson Parish Hospital
$6.46Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$5.82Published rateVictory Medical Center Landmark, Lp
$2.32Published rate
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See a sample payer proposalCPT 85732 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85732. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85611-CPT | Low | Test Prothrombin Clotting Time, The Prothrombin Time Test Measures How Well Blood Clots. The Test Commonly Assesses The Effectiveness Of Drugs For Thinning Blood Or Preventing Clots. The Test Also Detects Deficiencies In The Proteins Necessary For Clotting. |
| 85612-CPT | Low | Blood Clotting Test, This Test Checks For Deficiencies Of Several Critical Blood Clotting Proteins: Prothrombin Factor V Or Factor X. |
| 85613-CPT | Low | Russell Viper Venom Time Diluted |
| 85732-CPT | Low | Blood Clotting Time, Partial Thromboplastin Time Assesses The Amount Of Time It Takes For Blood To Clot. The Test Screens For Bleeding Conditions And Is Used To Monitor The Dose Of Heparin And Other Blood Thinners. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85732. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85732 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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