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Specialized Clotting Test for Antiphospholipid Antibodies

Missouri 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?

$21.38

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $24.55 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$17.38$12.30 to $32.36
FacilityA hospital or hospital-owned outpatient department$24.55$17.78 to $34.67

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $62Professionalmedian $17 · 10th to 90th $9 to $51
$10.0$20.0$50.0$100.0facility $25professional $17

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
$17.38
Median
$30.20
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$17.38
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.14
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$40.74
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$17.78
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$23.99

Where Missouri 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.

Missouri $21.38 · 15th 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.