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Heparin-Protamine Tolerance Test

Washington, DC 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?

$9.77

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $21.88 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 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$9.77$9.77 to $9.77
FacilityA hospital or hospital-owned outpatient department$21.88$9.77 to $52.48

How much rates vary

Facilitymedian $22 · 10th to 90th $10 to $98Professionalmedian $10 · 10th to 90th $10 to $49
$10$20$50$100facility $22professional $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
$9.77
Median
$52.48
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.88
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.79
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.32
Typical High
$23.99

Where Washington, DC 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.

Washington, DC· 50th of 51

$9.77

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.