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Heparin-Protamine Tolerance Test

Mississippi 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 Mississippi, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $23.44 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 4 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$15.14$10.23 to $23.44
FacilityA hospital or hospital-owned outpatient department$23.44$13.18 to $25.70

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $26Professionalmedian $15 · 10th to 90th $10 to $26
$10$20$50facility $23professional $15

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
$13.18
Median
$23.44
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$14.79
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.77
Typical High
$28.84

Where Mississippi 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.

Mississippi· 20th 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.