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Plasminogen Blood Test

North Carolina 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?

$5.89

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5.89 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 7 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$5.25 to $7.94
FacilityA hospital or hospital-owned outpatient department$10.72$5.75 to $83.18

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $166Professionalmedian $5 · 10th to 90th $5 to $9
$5$10$20$50$100facility $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
$5.25
Median
$11.48
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.25
Typical High
$9.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.98
Typical High
$4.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.79
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.27
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$12.59
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.47
Typical High
$9.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$12.59
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.89
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$18.20
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$8.51
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$9.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20

Where North Carolina 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.

North Carolina· 44th of 51

$5.89

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.