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Clot Retraction Test

Missouri 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?

$15.85

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $21.38 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$12.59$6.92 to $15.85
FacilityA hospital or hospital-owned outpatient department$21.38$16.22 to $28.18

How much rates vary

Facilitymedian $21 · 10th to 90th $14 to $38Professionalmedian $13 · 10th to 90th $5 to $22
$2$5$10$20$50$100facility $21professional $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
$13.80
Median
$27.54
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$7.59
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.08
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$24.55
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$7.76
Typical High
$23.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$18.20
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$8.13
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$7.76
Typical High
$19.05

Where Missouri 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.

Missouri· 19th of 51

$15.85

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.