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Specialized Clotting Test for Antiphospholipid Antibodies

Colorado rates for HCPCS 85597

This is a specialized blood clotting test used to help confirm the presence of a lupus anticoagulant, an antibody that interferes with normal blood clotting tests and is linked to an increased risk of abnormal blood clots. It is typically ordered as part of a broader workup when this kind of antibody is suspected.

Rates data updated July 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$16.98

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $47.86 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 7 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$13.80$13.18 to $16.22
FacilityA hospital or hospital-owned outpatient department$47.86$23.99 to $77.62

How much rates vary

Facilitymedian $48 · 10th to 90th $14 to $105Professionalmedian $14 · 10th to 90th $8 to $17
$5.0$20.0$100.0$500.0facility $48professional $14

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
$13.80
Median
$39.81
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$16.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$53.70
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$21.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$141.25
Typical High
$141.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$33.11
Typical High
$38.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$17.78
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$16.98

Where Colorado sits

The same service costs 4.0 times more in Delaware than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $16.98 · 34th of 51
DE $53.70DC $13.49

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.