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Plasminogen Blood Test

Pennsylvania 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?

$6.03

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $6.03 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $11.22 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.50$5.13 to $6.46
FacilityA hospital or hospital-owned outpatient department$11.22$6.46 to $22.39

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $46Professionalmedian $5 · 10th to 90th $3 to $9
$10$100$1K$10Kfacility $11professional $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
$5.25
Median
$6.17
Typical High
$17.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.25
Typical High
$5.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.57
Median
$2.63
Typical High
$2.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.02
Median
$1.07
Typical High
$1.17
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$48.98
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$6.46
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$10.00
Typical High
$19.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$7.24
Typical High
$15.85
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.09
Typical High
$9.55
Geisinger
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Geisinger
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$7.24
Typical High
$9.77
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$16.60
Typical High
$61.66
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$3.89
Typical High
$4.90
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$6.17
Typical High
$19.05
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$5.89
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.07
Median
$1.07
Typical High
$1.12
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$21.88
Typical High
$45.71
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$6.46
Typical High
$9.33
United
Setting
Facility
Modifier
None
Typical Low
$5.89
Median
$6.46
Typical High
$7.76
United
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$4.79
Typical High
$11.48

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$6.03

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.