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Specialized Clotting Test for Antiphospholipid Antibodies

North Dakota 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?

$23.44

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $16.98 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 5 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$26.30$16.22 to $36.31
FacilityA hospital or hospital-owned outpatient department$16.98$12.59 to $17.78

How much rates vary

Facilitymedian $17 · 10th to 90th $13 to $32Professionalmedian $26 · 10th to 90th $13 to $41
$10.0$20.0$50.0$100.0facility $17professional $26

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
$12.59
Median
$12.59
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$26.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.38
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$19.05
Typical High
$27.54

Where North Dakota 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 Dakota $23.44 · 7th 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.