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Heparin-Protamine Tolerance Test

Nebraska 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?

$19.05

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $30.90 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$8.71$8.71 to $26.92
FacilityA hospital or hospital-owned outpatient department$30.90$14.13 to $38.02

How much rates vary

Facilitymedian $31 · 10th to 90th $9 to $56Professionalmedian $9 · 10th to 90th $8 to $87
$5$10$20$50$100facility $31professional $9

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
$13.49
Median
$34.67
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$14.13
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$14.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$26.92
Midlands
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$11.75
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$19.05

Where Nebraska 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.

Nebraska· 8th of 51

$19.05

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.