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Heparin-Protamine Tolerance Test

Oregon 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?

$16.22

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $14.45 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$16.98$13.18 to $19.50
FacilityA hospital or hospital-owned outpatient department$14.45$13.18 to $25.70

How much rates vary

Facilitymedian $14 · 10th to 90th $13 to $36Professionalmedian $17 · 10th to 90th $13 to $34
$10$20$50facility $14professional $17

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
$16.98
Median
$24.55
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$24.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.18
Typical High
$33.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$18.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$28.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$26.30
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$42.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$51.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.45
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.13
Typical High
$19.05

Where Oregon 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.

Oregon· 12th of 51

$16.22

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.