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Clot Retraction Test

Rhode Island 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?

$9.33

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $14.79 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 4 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$3.80$3.80 to $10.96
FacilityA hospital or hospital-owned outpatient department$14.79$10.96 to $22.91

How much rates vary

Facilitymedian $15 · 10th to 90th $5 to $45Professionalmedian $4 · 10th to 90th $4 to $12
$5$10$20$50$100facility $15professional $4

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
$5.89
Median
$14.79
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$18.62
Typical High
$19.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$8.71
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.98
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.01
Typical High
$21.38

Where Rhode Island 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.

Rhode Island· 49th of 51

$9.33

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.