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Specialized Clotting Test for Antiphospholipid Antibodies

Tennessee 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?

$14.45

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $48.98 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$14.13$13.49 to $16.22
FacilityA hospital or hospital-owned outpatient department$48.98$17.78 to $64.57

How much rates vary

Facilitymedian $49 · 10th to 90th $13 to $87Professionalmedian $14 · 10th to 90th $13 to $25
$5.0$10.0$20.0$50.0$100.0facility $49professional $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
$13.49
Median
$53.70
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.13
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$38.02
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.80
Typical High
$27.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.30
Typical High
$25.12

Where Tennessee 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.

Tennessee $14.45 · 50th 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.