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Plasminogen Blood Test

Illinois rates for HCPCS 85420

Measures the activity of plasminogen in a blood sample. Plasminogen is a protein the body converts into the enzyme that breaks down blood clots once they are no longer needed. Low activity is investigated when clots form too readily or when a rare inherited deficiency is suspected.

Rates data updated July 2026.

How much does Plasminogen Blood Test cost?

$6.46

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $10.72 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$5.25$4.47 to $6.76
FacilityA hospital or hospital-owned outpatient department$10.72$6.76 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $36Professionalmedian $5 · 10th to 90th $3 to $13
$5$10$20$50$100$200facility $11professional $5

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
$5.62
Median
$10.72
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.62
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$26.92
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.47
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$15.14
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.59
Typical High
$11.75
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$218.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$6.46
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.90
Typical High
$6.46

Where Illinois sits

The same service costs 2.3 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.

Illinois· 28th of 51

$6.46

HI $11.75MD $5.01

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.