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Specialized Clotting Test for Antiphospholipid Antibodies

Rhode Island 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?

$18.62

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $53.70 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 4 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$18.62$13.49 to $18.62
FacilityA hospital or hospital-owned outpatient department$53.70$24.55 to $102

How much rates vary

Facilitymedian $54 · 10th to 90th $21 to $115Professionalmedian $19 · 10th to 90th $10 to $30
$5.0$10.0$20.0$50.0$100.0facility $54professional $19

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
$53.70
Median
$72.44
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$21.88
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$42.66
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$13.80
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$15.14
Typical High
$35.48

Where Rhode Island 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.

Rhode Island $18.62 · 24th 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.