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Specialized Clotting Test for Antiphospholipid Antibodies

New Hampshire 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?

$20.89

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $45.71 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$13.18$10.00 to $29.51
FacilityA hospital or hospital-owned outpatient department$45.71$31.62 to $81.28

How much rates vary

Facilitymedian $46 · 10th to 90th $19 to $105Professionalmedian $13 · 10th to 90th $4 to $34
$5.0$10.0$20.0$50.0$100.0facility $46professional $13

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
$25.12
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.25
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$67.61
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$31.62
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.72
Typical High
$27.54

Where New Hampshire 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.

New Hampshire $20.89 · 19th 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.