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Heparin-Protamine Tolerance Test

South Dakota 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?

$24.55

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $24.55 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$21.88$10.23 to $30.90
FacilityA hospital or hospital-owned outpatient department$24.55$21.88 to $24.55

How much rates vary

Facilitymedian $25 · 10th to 90th $15 to $25Professionalmedian $22 · 10th to 90th $9 to $36
$10$20$50$100facility $25professional $22

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
$9.12
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$14.79
Typical High
$66.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$19.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.75
Typical High
$19.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18

Where South Dakota 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 Dakota· 2nd of 51

$24.55

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.