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Specialized Clotting Test for Antiphospholipid Antibodies

North Carolina 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?

$21.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $56.23 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 7 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$15.85$14.45 to $21.88
FacilityA hospital or hospital-owned outpatient department$56.23$31.62 to $95.50

How much rates vary

Facilitymedian $56 · 10th to 90th $16 to $151Professionalmedian $16 · 10th to 90th $13 to $23
$5.0$20.0$100.0$500.0$2.0Kfacility $56professional $16

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
$16.98
Median
$60.26
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$23.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$35.48
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$34.67
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$35.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$53.70
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$23.44
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$25.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where North Carolina 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.

North Carolina $21.88 · 12th 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.