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Clot Retraction Test

Massachusetts 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?

$16.22

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $25.70 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 8 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$16.22$7.24 to $16.22
FacilityA hospital or hospital-owned outpatient department$25.70$15.49 to $41.69

How much rates vary

Facilitymedian $26 · 10th to 90th $7 to $48Professionalmedian $16 · 10th to 90th $3 to $30
$10$100$1Kfacility $26professional $16

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
$3.47
Median
$22.39
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$16.22
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$14.45
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$9.33
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$17.78
Typical High
$42.66
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$28.84
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$27.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$34.67
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$14.45
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$12.30
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$9.77
Typical High
$22.39

Where Massachusetts 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.

Massachusetts· 8th of 51

$16.22

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.