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Specialized Clotting Test for Antiphospholipid Antibodies

Michigan 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?

$14.45

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $16.98 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$13.49$7.94 to $16.98
FacilityA hospital or hospital-owned outpatient department$16.98$16.98 to $22.39

How much rates vary

Facilitymedian $17 · 10th to 90th $13 to $32Professionalmedian $13 · 10th to 90th $5 to $18
$5$10$20$50facility $17professional $13

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
$16.98
Median
$16.98
Typical High
$26.92
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8.51
Median
$8.51
Typical High
$13.18
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.39
Median
$3.39
Typical High
$5.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$17.38
Typical High
$18.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$8.71
Typical High
$9.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.09
Median
$3.47
Typical High
$3.63
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$19.05
Typical High
$33.88
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$14.79
Typical High
$25.70
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.98
Typical High
$28.84
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8.51
Median
$8.51
Typical High
$13.18
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.39
Median
$3.39
Typical High
$5.37
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$13.18
Typical High
$19.05
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Priority Health
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$17.78
Typical High
$23.44
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$16.22
Typical High
$21.38
United
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.90
Typical High
$23.44

Where Michigan 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.

Michigan· 41st of 51

$14.45

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.