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Specialized Clotting Test for Antiphospholipid Antibodies

Delaware 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?

$53.70

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $107 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 4 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$14.79$14.13 to $53.70
FacilityA hospital or hospital-owned outpatient department$107$18.62 to $117

How much rates vary

Facilitymedian $107 · 10th to 90th $15 to $372Professionalmedian $15 · 10th to 90th $14 to $54
$5.0$10.0$20.0$50.0$100.0$200.0facility $107professional $15

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
$14.79
Median
$107.15
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.79
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$33.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.02
Typical High
$25.12

Where Delaware 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.

Delaware $53.70 · 1st 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.