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Heparin-Protamine Tolerance Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $18.62 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$12.59$8.13 to $21.88
FacilityA hospital or hospital-owned outpatient department$18.62$13.18 to $24.55

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $36Professionalmedian $13 · 10th to 90th $6 to $34
$10$20$50$100facility $19professional $13

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
$12.59
Median
$22.91
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$12.02
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.59
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$32.36
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.13
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.77
Typical High
$17.78

Where Missouri 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.

Missouri· 18th 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.