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Heparin-Protamine Tolerance Test

New York 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?

$13.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $22.91 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 9 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$9.55$9.33 to $13.49
FacilityA hospital or hospital-owned outpatient department$22.91$13.80 to $30.20

How much rates vary

Facilitymedian $23 · 10th to 90th $11 to $36Professionalmedian $10 · 10th to 90th $6 to $26
$10$20$50$100facility $23professional $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
$11.22
Median
$22.91
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$32.36
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$13.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$32.36
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.50
Typical High
$95.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$36.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.12
Typical High
$25.12
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$18.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.95
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.77
Typical High
$31.62
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.14
Typical High
$43.65
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.80
Typical High
$44.67

Where New York 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.

New York· 27th of 51

$13.18

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.