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Specialized Clotting Test for Antiphospholipid Antibodies

Washington, DC 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 October 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$14.45

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $14.45 for this service. Most negotiated rates run $12.88 to $25.12.

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.

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $69Professionalmedian $14 · 10th to 90th $11 to $31
$5$10$20$50$100facility $30professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
CareFirst
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$14.45
Typical High
$25.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$30.20
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$20.42
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$10.96
Typical High
$30.90

Where Washington, DC sits

The same service costs 6.2 times more in Kansas than in Alabama. 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.

Washington, DC· 42nd of 51

$14.45

KS $46.77AL $7.59

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.