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Clot Retraction Test

South Dakota 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?

$19.50

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $30.90 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 6 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$16.22$10.96 to $38.02
FacilityA hospital or hospital-owned outpatient department$30.90$19.50 to $30.90

How much rates vary

Facilitymedian $31 · 10th to 90th $15 to $31Professionalmedian $16 · 10th to 90th $7 to $39
$2$5$10$20$50$100facility $31professional $16

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
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$38.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$15.49
Typical High
$30.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.51
Typical High
$16.22
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$33.11
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$6.92
Typical High
$18.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22

Where South Dakota 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 Dakota· 4th of 51

$19.50

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.