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Heparin-Protamine Tolerance Test

North Dakota 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?

$21.88

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $21.88 for this service. Most negotiated rates run $12.30 to $26.30.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $23Professionalmedian $22 · 10th to 90th $9 to $30
$10$20$50$100facility $9professional $22

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
$9.12
Median
$9.12
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$19.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.49
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.00
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$13.80
Typical High
$22.39

Where North Dakota 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.

North Dakota· 4th of 51

$21.88

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.