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Specialized Clotting Test for Antiphospholipid Antibodies

Maine 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?

$11.22

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $22.39 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.77$7.24 to $12.88
FacilityA hospital or hospital-owned outpatient department$22.39$17.38 to $26.30

How much rates vary

Facilitymedian $22 · 10th to 90th $17 to $47Professionalmedian $10 · 10th to 90th $6 to $18
$5$10$20$50$100facility $22professional $10

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
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$23.44
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$8.71
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$25.12
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$18.20
Typical High
$25.70
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$10.72
Typical High
$18.62
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$10.72
Typical High
$12.59

Where Maine 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.

Maine· 50th of 51

$11.22

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.