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Specialized Clotting Test for Antiphospholipid Antibodies

Oregon 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?

$19.95

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $19.95 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 8 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$19.95$16.22 to $26.30
FacilityA hospital or hospital-owned outpatient department$19.95$17.78 to $33.88

How much rates vary

Facilitymedian $20 · 10th to 90th $18 to $55Professionalmedian $20 · 10th to 90th $12 to $34
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $20professional $20

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
$23.44
Median
$33.88
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$17.38
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$22.39
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$31.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$36.31
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$36.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$70.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$25.12

Where Oregon 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.

Oregon $19.95 · 22nd 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.