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Heparin-Protamine Tolerance Test

Maryland 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?

$9.77

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $9.77 for this service. Most negotiated rates run $9.33 to $16.22.

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 $9 · 10th to 90th $5 to $17Professionalmedian $10 · 10th to 90th $8 to $38
$10$20$50facility $9professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$38.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$10.47
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$32.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$6.17
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$12.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.12
Typical High
$19.50

Where Maryland 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.

Maryland· 51st of 51

$9.77

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.