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Heparin-Protamine Tolerance Test

Hawaii 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?

$25.70

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $16.22 to $31.62.

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.

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $16Professionalmedian $26 · 10th to 90th $15 to $35
$10$20$50facility $13professional $26

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
$10.72
Median
$12.88
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$15.85
HMSA
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$19.95
Typical High
$27.54
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.70
Typical High
$36.31

Where Hawaii 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.

Hawaii· 1st of 51

$25.70

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.