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 October 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$14.79

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $18.62 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$14.13	$10.72 to $20.42
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$18.62	$14.79 to $47.86

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $87Professionalmedian $14 · 10th to 90th $9 to $33

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $47.86	Facility	None	$14.79	$14.79	$47.86
Aetna Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $16.60	Professional	None	$9.55	$14.79	$16.60
Cigna Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $33.88	Facility	None	$11.75	$11.75	$33.88
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.42 Typical High $120.23	Professional	None	$10.96	$20.42	$120.23
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10	Facility	None	$87.10	$87.10	$87.10
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $25.12	Professional	None	$7.59	$10.72	$25.12

Where Delaware 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.

Delaware· 38th of 51

$14.79

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.