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Heparin-Protamine Tolerance Test

Wyoming 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?

$19.95

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 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 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$19.95$16.22 to $41.69
FacilityA hospital or hospital-owned outpatient department$24.55$17.38 to $29.51

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $30Professionalmedian $20 · 10th to 90th $13 to $42
$10$20facility $25professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.51
Typical High
$19.95

Where Wyoming 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.

Wyoming· 6th of 51

$19.95

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.