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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 October 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$26.30

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $12.59 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.30$20.42 to $30.90
FacilityA hospital or hospital-owned outpatient department$12.59$12.59 to $26.92

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $78Professionalmedian $26 · 10th to 90th $9 to $36
$10$20$50$100facility $13professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$16.98
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$77.62
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$30.90
Typical High
$36.31
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$28.18
Median
$36.31
Typical High
$42.66
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.68
Median
$6.17
Typical High
$7.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.89
Typical High
$32.36
Medica
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$17.78
Typical High
$87.10
Medica
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$21.38
Typical High
$26.30
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$18.20
Typical High
$26.30

Where North Dakota 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.

North Dakota· 7th 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.