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Clot Retraction Test

Pennsylvania 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?

$13.80

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $23.99 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$13.18$12.59 to $14.13
FacilityA hospital or hospital-owned outpatient department$23.99$13.80 to $40.74

How much rates vary

Facilitymedian $24 · 10th to 90th $10 to $49Professionalmedian $13 · 10th to 90th $3 to $25
$5$10$20$50$100facility $24professional $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
$9.55
Median
$25.12
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$13.18
Typical High
$38.90
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$22.39
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$7.76
Typical High
$24.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.59
Typical High
$23.44
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$11.48
Typical High
$28.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$24.55
Typical High
$56.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$47.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$24.55
Typical High
$48.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$14.45
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$7.41
Typical High
$19.50

Where Pennsylvania 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.

Pennsylvania· 24th of 51

$13.80

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.