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Specialized Clotting Test for Antiphospholipid Antibodies

Indiana 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?

$16.60

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $21.88 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 5 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$14.79$11.22 to $16.22
FacilityA hospital or hospital-owned outpatient department$21.88$17.78 to $50.12

How much rates vary

Facilitymedian $22 · 10th to 90th $17 to $71Professionalmedian $15 · 10th to 90th $9 to $17
$5.0$10.0$20.0$50.0$100.0$200.0facility $22professional $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
$17.78
Median
$29.51
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.79
Typical High
$16.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$17.78
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$17.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.72
Typical High
$19.95

Where Indiana 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.

Indiana $16.60 · 38th 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.