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Clot Retraction Test

New Jersey 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?

$10.96

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $7.08 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 5 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$7.08$3.24 to $13.18
FacilityA hospital or hospital-owned outpatient department$21.38$7.08 to $63.10

How much rates vary

Facilitymedian $21 · 10th to 90th $7 to $120Professionalmedian $7 · 10th to 90th $3 to $14
$10$100$1K$10Kfacility $21professional $7

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
$7.08
Median
$20.89
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.37
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$36.31
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$7.41
Typical High
$19.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.59
Typical High
$9.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$9.77
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$15.85
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.13
Typical High
$11.48

Where New Jersey 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.

New Jersey· 47th of 51

$10.96

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.