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Heparin-Protamine Tolerance Test

Delaware 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?

$10.96

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $10.96 for this service. Most negotiated rates run $10.23 to $19.95.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $15Professionalmedian $11 · 10th to 90th $10 to $39
$10$20facility $15professional $11

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$19.95

Where Delaware 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.

Delaware· 45th of 51

$10.96

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.