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Heparin-Protamine Tolerance Test

Ohio 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?

$12.30

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $18.20 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 8 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$7.76 to $13.18
FacilityA hospital or hospital-owned outpatient department$18.20$13.18 to $28.84

How much rates vary

Facilitymedian $18 · 10th to 90th $10 to $43Professionalmedian $10 · 10th to 90th $6 to $32
$10$20$50facility $18professional $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
$10.72
Median
$23.44
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$42.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.80
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$16.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$15.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$16.98
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.12
Typical High
$26.92
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$17.38
Typical High
$54.95
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.12
Typical High
$24.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.30
Typical High
$16.22
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$13.18
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.32
Typical High
$19.05

Where Ohio 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.

Ohio· 34th of 51

$12.30

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.