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Heparin-Protamine Tolerance Test

South Carolina 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?

$11.22

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $33.11 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 5 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$10.23$10.23 to $11.48
FacilityA hospital or hospital-owned outpatient department$33.11$18.20 to $60.26

How much rates vary

Facilitymedian $33 · 10th to 90th $10 to $85Professionalmedian $10 · 10th to 90th $10 to $18
$10$20$50$100facility $33professional $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
$32.36
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$63.10
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.33
Typical High
$18.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$16.22
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.55
Typical High
$19.95

Where South Carolina 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.

South Carolina· 43rd of 51

$11.22

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.