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Clot Retraction Test

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $20.89 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$12.59$12.59 to $13.18
FacilityA hospital or hospital-owned outpatient department$20.89$12.59 to $39.81

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $52Professionalmedian $13 · 10th to 90th $7 to $17
$5$10$20$50$100facility $21professional $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
$11.48
Median
$39.81
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$16.22
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$13.49
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$7.41
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$12.30
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$16.22
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$6.92
Typical High
$14.13

Where South Carolina 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.

South Carolina· 33rd 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.