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Plasminogen Blood Test

Massachusetts 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?

$7.41

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $15.85 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 8 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$6.46$6.17 to $9.77
FacilityA hospital or hospital-owned outpatient department$15.85$9.33 to $21.38

How much rates vary

Facilitymedian $16 · 10th to 90th $6 to $41Professionalmedian $6 · 10th to 90th $6 to $19
$5$20$100$500$2Kfacility $16professional $6

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
$6.46
Median
$17.38
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.17
Typical High
$29.51
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$112.20
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.46
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$10.23
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.41
Typical High
$16.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$45.71
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$19.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$112.20
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.46
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$6.46
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$16.60

Where Massachusetts 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.

Massachusetts· 23rd of 51

$7.41

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.