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Specialized Clotting Test for Antiphospholipid Antibodies

Montana 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?

$26.30

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $26.92 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$23.99$12.30 to $26.30
FacilityA hospital or hospital-owned outpatient department$26.92$24.55 to $31.62

How much rates vary

Facilitymedian $27 · 10th to 90th $20 to $39Professionalmedian $24 · 10th to 90th $8 to $31
$10$20$50$100facility $27professional $24

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
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$63.10
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.92
Typical High
$53.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$26.30
Typical High
$26.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$30.90
Typical High
$36.31
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$26.92
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$53.70
Providence
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$26.30
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$17.78

Where Montana 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.

Montana· 6th of 51

$26.30

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.