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Heparin-Protamine Tolerance Test

Connecticut 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?

$12.88

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $20.42 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$12.88$12.88 to $13.18
FacilityA hospital or hospital-owned outpatient department$20.42$14.79 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $13 to $39Professionalmedian $13 · 10th to 90th $8 to $17
$10$20$50facility $20professional $13

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
$13.18
Median
$18.62
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.88
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$20.42
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$20.89
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$19.95
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.30
Typical High
$22.91

Where Connecticut 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.

Connecticut· 31st of 51

$12.88

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.