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Heparin-Protamine Tolerance Test

West Virginia 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?

$10.72

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $16.22 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 4 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$10.47$9.77 to $10.72
FacilityA hospital or hospital-owned outpatient department$16.22$10.72 to $19.50

How much rates vary

Facilitymedian $16 · 10th to 90th $11 to $19Professionalmedian $10 · 10th to 90th $9 to $12
$10$20$50$100facility $16professional $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
$10.72
Median
$16.22
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.47
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$19.05
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$27.54
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$19.95

Where West Virginia 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.

West Virginia· 46th of 51

$10.72

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.