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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 July 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$17.78

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $28.84 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$14.45$10.72 to $17.78
FacilityA hospital or hospital-owned outpatient department$28.84$17.78 to $44.67

How much rates vary

Facilitymedian $29 · 10th to 90th $18 to $76Professionalmedian $14 · 10th to 90th $7 to $21
$5.0$10.0$20.0$50.0$100.0facility $29professional $14

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
$17.78
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.45
Typical High
$17.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$43.65
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.91
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$25.12
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.20
Typical High
$25.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$21.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.78
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$11.22
Typical High
$33.88

Where Maine 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.

Maine $17.78 · 26th 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.