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Heparin-Protamine Tolerance Test

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $12.30 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$12.30$10.00 to $12.30
FacilityA hospital or hospital-owned outpatient department$12.30$12.30 to $15.49

How much rates vary

Facilitymedian $12 · 10th to 90th $12 to $23Professionalmedian $12 · 10th to 90th $10 to $17
$10$20facility $12professional $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
$11.75
Median
$12.30
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$15.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$18.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$46.77
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$25.70
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.79
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.75
Typical High
$16.98

Where Michigan 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.

Michigan· 38th 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.