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Clot Retraction Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $26.30 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$13.18$9.77 to $16.22
FacilityA hospital or hospital-owned outpatient department$26.30$16.22 to $36.31

How much rates vary

Facilitymedian $26 · 10th to 90th $16 to $41Professionalmedian $13 · 10th to 90th $5 to $19
$5$10$20$50facility $26professional $13

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
$16.22
Median
$16.22
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$33.88
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.46
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.01
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$14.79
Typical High
$18.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.22
Typical High
$19.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$72.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.22
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$9.77
Typical High
$25.12

Where Maine 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.

Maine· 11th 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.