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Heparin-Protamine Tolerance Test

Alaska rates for HCPCS 85530

A laboratory test that works out how much protamine, the drug used to reverse heparin, is needed to neutralize the heparin present in a blood sample. It gives a direct measure of how much heparin effect the blood is carrying.

Rates data updated July 2026.

How much does Heparin-Protamine Tolerance Test cost?

$14.79

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $14.13 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$38.90$23.99 to $43.65
FacilityA hospital or hospital-owned outpatient department$14.13$14.13 to $14.13

How much rates vary

Facilitymedian $14 · 10th to 90th $13 to $78Professionalmedian $39 · 10th to 90th $13 to $52
$10$20$50$100facility $14professional $39

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
$56.23
Median
$93.33
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.79
Typical High
$18.62
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$14.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$52.48
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$50.12
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$29.51
Typical High
$29.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$104.71

Where Alaska sits

The same service costs 2.6 times more in Hawaii than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 23rd of 51

$14.79

HI $25.70MD $9.77

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.