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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 July 2026.

How much does Clot Retraction Test cost?

$17.78

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $24.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$12.59 to $20.89
FacilityA hospital or hospital-owned outpatient department$24.55$16.60 to $32.36

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $45Professionalmedian $14 · 10th to 90th $7 to $33
$5$10$20$50$100$200facility $25professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$24.55
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.80
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$57.54
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$33.88
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$9.12
Typical High
$23.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$17.78
Typical High
$41.69
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$16.22
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$6.92
Typical High
$14.13

Where Illinois sits

The same service costs 4.8 times more in North Dakota than in Vermont. 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· 6th of 51

$17.78

ND $25.12VT $5.25

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.