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Specialized Clotting Test for Antiphospholipid Antibodies

South Dakota 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?

$20.42

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $34.67 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 6 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$16.98$16.22 to $36.31
FacilityA hospital or hospital-owned outpatient department$34.67$34.67 to $34.67

How much rates vary

Facilitymedian $35 · 10th to 90th $20 to $186Professionalmedian $17 · 10th to 90th $12 to $43
$10.0$20.0$50.0$100.0facility $35professional $17

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
$12.59
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$42.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$27.54
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$25.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$41.69
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$16.22
Typical High
$25.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78

Where South Dakota 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 Dakota $20.42 · 21st 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.