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Heparin-Protamine Tolerance Test

Florida 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?

$11.22

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $28.84 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$10.23$7.76 to $11.22
FacilityA hospital or hospital-owned outpatient department$28.84$13.18 to $43.65

How much rates vary

Facilitymedian $29 · 10th to 90th $12 to $69Professionalmedian $10 · 10th to 90th $8 to $13
$10$20$50$100facility $29professional $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
$11.75
Median
$35.48
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.72
Typical High
$12.02
AvMed
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$15.49
AvMed
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.60
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$13.49
Typical High
$25.70
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$72.44
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$13.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$6.31
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$11.75
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.24
Typical High
$19.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$13.18

Where Florida 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.

Florida· 42nd of 51

$11.22

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.