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Heparin-Protamine Tolerance Test

Washington 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?

$14.45

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $20.89 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 9 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$12.30$11.75 to $15.85
FacilityA hospital or hospital-owned outpatient department$20.89$13.80 to $30.20

How much rates vary

Facilitymedian $21 · 10th to 90th $13 to $54Professionalmedian $12 · 10th to 90th $8 to $30
$10$20$50$100facility $21professional $12

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
$12.30
Median
$29.51
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$87.10
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$36.31
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.80
Typical High
$20.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.48
Typical High
$64.57
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
$14.45
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$36.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$15.85
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$35.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$15.85
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.76
Typical High
$23.44

Where Washington 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.

Washington· 24th of 51

$14.45

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.