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Heparin-Protamine Tolerance Test

Nevada 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?

$10.96

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $20.42 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$10.47$9.77 to $14.79
FacilityA hospital or hospital-owned outpatient department$20.42$10.96 to $69.18

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $69Professionalmedian $10 · 10th to 90th $9 to $18
$5$10$20$50$100facility $20professional $10

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
$10.23
Median
$25.12
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.72
Typical High
$17.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$10.96
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.49
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$18.62
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$13.18
Typical High
$21.38
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$9.77
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$14.45
Typical High
$30.90

Where Nevada 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.

Nevada· 44th of 51

$10.96

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.