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Heparin-Protamine Tolerance Test

Kansas 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?

$14.13

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $30.90 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 5 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$11.48$11.48 to $13.18
FacilityA hospital or hospital-owned outpatient department$30.90$18.20 to $44.67

How much rates vary

Facilitymedian $31 · 10th to 90th $13 to $62Professionalmedian $11 · 10th to 90th $9 to $27
$10$20$50$100facility $31professional $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
$14.13
Median
$28.18
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$22.91
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$14.79
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.22
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.48
Typical High
$23.44

Where Kansas 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.

Kansas· 25th of 51

$14.13

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.