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Specialized Clotting Test for Antiphospholipid Antibodies

Utah 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?

$16.22

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $36.31 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$15.85$13.18 to $16.98
FacilityA hospital or hospital-owned outpatient department$36.31$20.89 to $47.86

How much rates vary

Facilitymedian $36 · 10th to 90th $7 to $51Professionalmedian $16 · 10th to 90th $7 to $21
$10.0$20.0$50.0$100.0facility $36professional $16

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
$6.76
Median
$36.31
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$16.22
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$18.62
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$81.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$16.22
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$23.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$15.85
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$25.12

Where Utah 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.

Utah $16.22 · 48th 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.