Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 85170 Fee Schedule
Medicare rates as of January 2026
CPT 85170 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Platelet Retraction Test, This Test Looks At The Amount Of Time It Takes For Platelets To Create A Blood Clot. The Test Is Used To Diagnose Clotting Problems.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.30 national lab fee schedule rate (2026) · View Medicare rates for 85170 |
| Medicaid Fee Schedule | $14.995 median of the 8 states in the free preview · View Medicaid rates for 85170 |
National average reimbursement for CPT 85170 by major payers:
$11.56
BCBS / Anthem
$6.87
UnitedHealthcare
$12.83
Aetna
$22.67
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 85170.
CPT 85170
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateNorth Houston, Hca Houston Healthcare Tomball
$16.29Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$8.80Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$4.75Published rateDallas County Hospital District, Parkland Health
Dallas County Hospital District
$2.11Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 85170 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85170. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85130-CPT | Low | Test With Colorizing Material, This Test Method Is Called A Chromogenic Substrate Assay. When Mixed With A Test Sample The Solution Changes Color. It Is Used For A Variety Of Blood Tests Especially Those That Check Clotting Factors. |
| 85170-CPT | Low | Platelet Retraction Test, This Test Looks At The Amount Of Time It Takes For Platelets To Create A Blood Clot. The Test Is Used To Diagnose Clotting Problems. |
| 85175-CPT | Low | Blood Clot Absorption Test, This Test Measures The Amount Of Time A Clot Takes To Dissolve Fully Into The Blood. Results Indicate The Health Of This Function. |
| 85210-CPT | Low | Blood Clotting Test, This Test Evaluates For A Lack Of Factor Ii Or Prothrombin In The Blood. A Deficiency Is Associated With Hemophilia And Is One Of The More Common Clotting Problems. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85170 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 85170) and we'll show you how you compare in 15 minutes or less.