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Clot Retraction Test

Illinois rates for HCPCS 85170

A laboratory test that lets a blood sample clot and then observes how well the clot shrinks and tightens over the following hours. Poor shrinkage points to a problem with platelets, the small blood cells that build a clot and pull it closed.

Rates data updated October 2026.

How much does Clot Retraction Test cost?

$16.22

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $30.20 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$6.92 to $17.78
FacilityA hospital or hospital-owned outpatient department$30.20$19.50 to $57.54

How much rates vary

Facilitymedian $30 · 10th to 90th $9 to $102Professionalmedian $13 · 10th to 90th $3 to $23
$5$10$20$50$100$200facility $30professional $13

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$25.70
Typical High
$48.98
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$6.76
Median
$11.75
Typical High
$24.55
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$2.69
Median
$4.68
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.49
Typical High
$14.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.46
Median
$6.76
Typical High
$7.41
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$2.69
Typical High
$2.95
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$28.18
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$33.11
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$8.51
Typical High
$23.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$18.20
Typical High
$30.90
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Molina
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$20.42
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$19.50
Typical High
$20.42
United
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$6.92
Typical High
$17.38

Where Illinois sits

The same service costs 8.9 times more in Alaska 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.

Illinois· 11th of 51

$16.22

AK $36.31KY $4.07

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.