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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 July 2026.

How much does Plasminogen Blood Test cost?

$7.76

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $14.79 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 5 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$5.50$5.01 to $7.59
FacilityA hospital or hospital-owned outpatient department$14.79$9.77 to $38.90

How much rates vary

Facilitymedian $15 · 10th to 90th $6 to $89Professionalmedian $5 · 10th to 90th $4 to $13
$10$100$1K$10Kfacility $15professional $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
$8.32
Median
$18.62
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.50
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$14.45
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$18.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.24
Typical High
$7.41
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$6.46
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.89
Typical High
$9.55

Where New Jersey 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.

New Jersey· 19th of 51

$7.76

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.