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Specialized Clotting Test for Antiphospholipid Antibodies

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $44.67 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 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$14.45$13.49 to $16.22
FacilityA hospital or hospital-owned outpatient department$44.67$24.55 to $100

How much rates vary

Facilitymedian $45 · 10th to 90th $15 to $112Professionalmedian $14 · 10th to 90th $11 to $17
$5.0$10.0$20.0$50.0$100.0facility $45professional $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
$14.79
Median
$44.67
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$16.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.88
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$34.67
Typical High
$120.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$173.78
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$25.12

Where West Virginia 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.

West Virginia $16.22 · 46th 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.