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Heparin-Protamine Tolerance Test

Colorado 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?

$12.30

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $33.88 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 7 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$10.00$9.77 to $12.30
FacilityA hospital or hospital-owned outpatient department$33.88$17.38 to $54.95

How much rates vary

Facilitymedian $34 · 10th to 90th $10 to $66Professionalmedian $10 · 10th to 90th $5 to $12
$10$20$50$100facility $34professional $10

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
$8.32
Median
$28.84
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$12.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$38.90
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$15.85
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$107.15
Typical High
$107.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$27.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.18
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.13
Typical High
$12.30

Where Colorado 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.

Colorado· 35th of 51

$12.30

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.