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Specialized Clotting Test for Antiphospholipid Antibodies

South Carolina 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?

$15.49

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $57.54 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 5 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$14.13$14.13 to $14.45
FacilityA hospital or hospital-owned outpatient department$57.54$21.38 to $141

How much rates vary

Facilitymedian $58 · 10th to 90th $14 to $234Professionalmedian $14 · 10th to 90th $7 to $19
$5.0$10.0$20.0$50.0$100.0$200.0facility $58professional $14

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
$14.13
Median
$85.11
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$15.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$33.11
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.03
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$16.22
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$17.78
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$8.91
Typical High
$21.38

Where South Carolina 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.

South Carolina $15.49 · 49th 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.