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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 October 2026.

How much does Clot Retraction Test cost?

$13.18

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $19.50 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.18$7.41 to $13.80
FacilityA hospital or hospital-owned outpatient department$19.50$14.79 to $29.51

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $49Professionalmedian $13 · 10th to 90th $4 to $17
$10$100$1K$10Kfacility $19professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$13.18
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$13.18
Typical High
$13.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.03
Median
$6.61
Typical High
$6.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.40
Median
$2.63
Typical High
$2.75
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$26.92
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$12.59
Typical High
$13.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$22.39
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$7.59
Typical High
$24.55
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$7.59
Typical High
$23.44
Geisinger
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Geisinger
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$5.25
Typical High
$24.55
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$13.18
Typical High
$56.23
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.80
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.61
Median
$6.61
Typical High
$6.92
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$28.18
Typical High
$39.81
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$8.91
Typical High
$19.50

Where Pennsylvania sits

The same service costs 8.9 times more in Alaska than in Kentucky. 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· 21st of 51

$13.18

AK $36.31KY $4.07

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.