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Specialized Clotting Test for Antiphospholipid Antibodies

Iowa 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?

$23.44

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $30.90 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$18.62$13.80 to $42.66
FacilityA hospital or hospital-owned outpatient department$30.90$17.78 to $48.98

How much rates vary

Facilitymedian $31 · 10th to 90th $18 to $66Professionalmedian $19 · 10th to 90th $12 to $117
$10.0$20.0$50.0$100.0facility $31professional $19

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
$13.80
Median
$42.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$34.67
Typical High
$42.66
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$21.38
Typical High
$46.77
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.99
Midlands
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$17.78

Where Iowa 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.

Iowa $23.44 · 8th 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.