go back

Clot Retraction Test

New York 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?

$13.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $6.46 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 9 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$6.46$2.69 to $13.80
FacilityA hospital or hospital-owned outpatient department$24.55$16.22 to $38.02

How much rates vary

Facilitymedian $25 · 10th to 90th $8 to $45Professionalmedian $6 · 10th to 90th $3 to $23
$2$5$10$20$50$100facility $25professional $6

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
$8.51
Median
$26.30
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.39
Typical High
$16.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.46
Typical High
$23.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$16.22
Typical High
$16.22
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$34.67
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$9.77
Typical High
$79.43
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$16.22
Typical High
$36.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$31.62
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.89
Typical High
$16.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$30.90
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$6.03
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$8.91
Typical High
$35.48
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$13.80
Typical High
$18.62
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$13.80
Typical High
$18.62

Where New York 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 York· 30th of 51

$13.18

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.