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Specialized Clotting Test for Antiphospholipid Antibodies

Idaho 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?

$30.20

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $36.31 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.38$16.98 to $34.67
FacilityA hospital or hospital-owned outpatient department$36.31$26.92 to $64.57

How much rates vary

Facilitymedian $36 · 10th to 90th $18 to $98Professionalmedian $21 · 10th to 90th $11 to $35
$10$20$50$100facility $36professional $21

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
$21.88
Median
$32.36
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$34.67
Typical High
$34.67
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$47.86
Typical High
$102.33
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$37.15
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$13.49
Typical High
$25.70
Moda Health
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$31.62
Typical High
$43.65
Moda Health
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.38
Typical High
$34.67
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$26.92
Typical High
$34.67
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$30.20
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$42.66
Typical High
$64.57
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$15.14
Typical High
$15.14
Select Health
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$34.67
Select Health
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$10.72
Typical High
$38.90

Where Idaho 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.

Idaho· 4th of 51

$30.20

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.