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Heparin-Protamine Tolerance Test

Iowa 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?

$15.14

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $20.42 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$12.02$10.00 to $30.90
FacilityA hospital or hospital-owned outpatient department$20.42$13.18 to $34.67

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $38Professionalmedian $12 · 10th to 90th $8 to $87
$5$10$20$50$100facility $20professional $12

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
$10.00
Median
$30.90
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$24.55
Typical High
$30.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$16.22
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$13.18
Typical High
$34.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.38
Typical High
$17.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.76
Typical High
$26.92
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$13.18

Where Iowa 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.

Iowa· 21st of 51

$15.14

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.