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Clot Retraction Test

Tennessee 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?

$12.30

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $16.22 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$12.30$12.30 to $12.88
FacilityA hospital or hospital-owned outpatient department$16.22$12.88 to $51.29

How much rates vary

Facilitymedian $16 · 10th to 90th $8 to $59Professionalmedian $12 · 10th to 90th $5 to $16
$5$10$20$50$100facility $16professional $12

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
$12.30
Median
$15.49
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$19.05
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$6.92
Typical High
$22.39
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$14.79
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.01
Typical High
$9.77

Where Tennessee 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.

Tennessee· 40th of 51

$12.30

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.