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Specialized Clotting Test for Antiphospholipid Antibodies

Kansas 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?

$17.78

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $41.69 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 6 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$15.49$15.49 to $17.78
FacilityA hospital or hospital-owned outpatient department$41.69$26.92 to $100

How much rates vary

Facilitymedian $42 · 10th to 90th $17 to $148Professionalmedian $15 · 10th to 90th $13 to $24
$5.0$10.0$20.0$50.0$100.0$200.0facility $42professional $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
$19.05
Median
$38.90
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.49
Typical High
$17.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$29.51
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$20.42
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.79
Typical High
$32.36

Where Kansas 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.

Kansas $17.78 · 27th 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.