go back

Specialized Clotting Test for Antiphospholipid Antibodies

New Mexico 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?

$20.42

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $57.54 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$14.79$10.72 to $25.70
FacilityA hospital or hospital-owned outpatient department$57.54$31.62 to $117

How much rates vary

Facilitymedian $58 · 10th to 90th $16 to $174Professionalmedian $15 · 10th to 90th $8 to $39
$10$20$50$100facility $58professional $15

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$57.54
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$16.60
Typical High
$21.38
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$112.20
Typical High
$177.83
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.79
Typical High
$16.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$27.54
Typical High
$44.67
Providence
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$21.38
Typical High
$35.48
Providence
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$32.36
Typical High
$44.67
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$10.72
Typical High
$10.96

Where New Mexico 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.

New Mexico· 12th of 51

$20.42

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.