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Specialized Clotting Test for Antiphospholipid Antibodies

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $23.99 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$15.14$12.02 to $17.38
FacilityA hospital or hospital-owned outpatient department$23.99$18.62 to $33.11

How much rates vary

Facilitymedian $24 · 10th to 90th $14 to $59Professionalmedian $15 · 10th to 90th $9 to $36
$5.0$10.0$20.0$50.0$100.0facility $24professional $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
$14.45
Median
$32.36
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.18
Typical High
$36.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$35.48
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$38.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.22
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$25.12

Where Georgia 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.

Georgia $16.98 · 35th 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.