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Specialized Clotting Test for Antiphospholipid Antibodies

Connecticut 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?

$16.22

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $32.36 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$14.13 to $16.22
FacilityA hospital or hospital-owned outpatient department$32.36$23.44 to $44.67

How much rates vary

Facilitymedian $32 · 10th to 90th $18 to $69Professionalmedian $16 · 10th to 90th $9 to $21
$5.0$10.0$20.0$50.0$100.0facility $32professional $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
$17.78
Median
$32.36
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.22
Typical High
$19.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$29.51
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.42
Typical High
$28.18
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$17.78
Typical High
$26.30
Health New England
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$15.85
Typical High
$31.62

Where Connecticut 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.

Connecticut $16.22 · 45th 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.