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Specialized Clotting Test for Antiphospholipid Antibodies

Nebraska 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?

$25.70

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $47.86 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$14.45$11.75 to $42.66
FacilityA hospital or hospital-owned outpatient department$47.86$23.99 to $148

How much rates vary

Facilitymedian $48 · 10th to 90th $12 to $219Professionalmedian $14 · 10th to 90th $11 to $117
$5.0$10.0$20.0$50.0$100.0$200.0facility $48professional $14

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
$36.31
Median
$89.13
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$27.54
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$42.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$22.39
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$19.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$37.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$16.22
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.72
Typical High
$36.31

Where Nebraska 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.

Nebraska $25.70 · 5th 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.