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Heparin-Protamine Tolerance Test

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $17.78 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 6 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$10.72$8.71 to $15.85
FacilityA hospital or hospital-owned outpatient department$17.78$13.18 to $23.44

How much rates vary

Facilitymedian $18 · 10th to 90th $10 to $35Professionalmedian $11 · 10th to 90th $6 to $28
$5$10$20$50facility $18professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$17.38
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$26.30
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.62
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$19.95

Where Georgia 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.

Georgia· 36th 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.