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Specialized Clotting Test for Antiphospholipid Antibodies

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 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 9 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$17.78$15.85 to $17.78
FacilityA hospital or hospital-owned outpatient department$41.69$18.62 to $57.54

How much rates vary

Facilitymedian $42 · 10th to 90th $12 to $87Professionalmedian $18 · 10th to 90th $4 to $30
$10.0$100.0$1.0K$10.0Kfacility $42professional $18

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
$8.91
Median
$41.69
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$16.22
Typical High
$20.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$87.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$15.85
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$20.42
Typical High
$46.77
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$45.71
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$30.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$38.02
Health New England
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$16.98
Typical High
$56.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$87.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$15.85
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$17.78
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$13.49
Typical High
$30.20

Where Massachusetts 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.

Massachusetts $17.78 · 31st 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.