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Plasminogen Blood Test

New Jersey 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 October 2026.

How much does Plasminogen Blood Test cost?

$5.01

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $10.00 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.57$4.57 to $5.50
FacilityA hospital or hospital-owned outpatient department$10.00$5.89 to $20.42

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $32Professionalmedian $5 · 10th to 90th $3 to $7
$5$10$20$50$100facility $10professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.89
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$5.01
Typical High
$7.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.51
Median
$2.51
Typical High
$3.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.00
Median
$1.00
Typical High
$1.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$14.45
Typical High
$32.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$6.31
Typical High
$13.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$3.24
Typical High
$7.41
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.46
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
United
Setting
Facility
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$3.89
Typical High
$6.61

Where New Jersey sits

The same service costs 3.0 times more in Alaska 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.

New Jersey· 49th of 51

$5.01

AK $14.79MD $4.90

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.