go back

Heparin-Protamine Tolerance Test

Tennessee 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?

$10.23

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $19.95 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$9.77$9.77 to $11.75
FacilityA hospital or hospital-owned outpatient department$19.95$11.75 to $47.86

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $60Professionalmedian $10 · 10th to 90th $10 to $16
$5$10$20$50$100facility $20professional $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
$9.77
Median
$19.95
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$12.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$27.54
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.96
Typical High
$19.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$9.77
Typical High
$19.95

Where Tennessee 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.

Tennessee· 49th of 51

$10.23

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.