go back

Specialized Clotting Test for Antiphospholipid Antibodies

Pennsylvania 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?

$42.66

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $64.57 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 10 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$15.14$14.45 to $16.98
FacilityA hospital or hospital-owned outpatient department$64.57$40.74 to $117

How much rates vary

Facilitymedian $65 · 10th to 90th $21 to $257Professionalmedian $15 · 10th to 90th $14 to $28
$10.0$100.0$1.0K$10.0Kfacility $65professional $15

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
$21.88
Median
$67.61
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$22.39
Typical High
$43.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$26.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.95
Typical High
$30.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$63.10
Typical High
$162.18
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$13.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$61.66
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$44.67
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$93.33
Typical High
$194.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$17.78
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.75
Typical High
$30.90

Where Pennsylvania 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.

Pennsylvania $42.66 · 2nd 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.