go back

Heparin-Protamine Tolerance Test

Montana 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?

$19.50

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $20.89 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$16.98$15.14 to $39.81
FacilityA hospital or hospital-owned outpatient department$20.89$16.22 to $39.81

How much rates vary

Facilitymedian $21 · 10th to 90th $16 to $100Professionalmedian $17 · 10th to 90th $10 to $87
$10$100$1K$10K$100Kfacility $21professional $17

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
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$46,773.51
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$22.39
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$19.05
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$40.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$40.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$19.95

Where Montana 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.

Montana· 7th of 51

$19.50

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.