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Specialized Clotting Test for Antiphospholipid Antibodies

Ohio 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?

$14.79

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $25.70 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.48$8.91 to $17.78
FacilityA hospital or hospital-owned outpatient department$25.70$19.05 to $39.81

How much rates vary

Facilitymedian $26 · 10th to 90th $15 to $66Professionalmedian $11 · 10th to 90th $9 to $34
$10$20$50$100facility $26professional $11

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
$17.78
Median
$42.66
Typical High
$66.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8.51
Median
$19.95
Typical High
$32.36
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.39
Median
$7.94
Typical High
$13.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$22.39
Typical High
$104.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.24
Median
$8.51
Typical High
$60.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.88
Median
$3.39
Typical High
$23.99
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$20.89
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$9.55
Typical High
$22.91
CareSource
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$20.89
CareSource
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$21.88
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.48
Typical High
$25.70
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$26.30
Typical High
$67.61
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.48
Typical High
$25.12
Molina
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$13.49
Typical High
$21.38
SummaCare
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$15.14
Typical High
$21.38
United
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$16.22
Typical High
$26.92
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$10.96
Typical High
$25.70

Where Ohio 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.

Ohio· 37th of 51

$14.79

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.