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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 October 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$21.38

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $30.90 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$14.13 to $34.67
FacilityA hospital or hospital-owned outpatient department$30.90$21.38 to $47.86

How much rates vary

Facilitymedian $31 · 10th to 90th $18 to $56Professionalmedian $18 · 10th to 90th $11 to $47
$10$20$50$100facility $31professional $18

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$34.67
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.13
Typical High
$21.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$34.67
Typical High
$42.66
Hally Health
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$32.36
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$32.36
Typical High
$56.23
Medica
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$21.38
Typical High
$46.77
Midlands
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$23.99
Midlands
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$15.85
Typical High
$25.12
Wellmark
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.78
Typical High
$17.78

Where Iowa 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.

Iowa· 10th of 51

$21.38

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.